Active NPI
Timothy Martin
- Internal Medicine Physician
- Naples, FL
National Provider Identifier
1366902934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME155028
- Practice address
- 6101 Pine Ridge Rd
Naples, FL 34119-3900 - Phone
- (239) 354-6000
- NPI assigned
- Mar 21, 2019
- Last updated
- Aug 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME155028 | FL | Primary |
Addresses
Primary practice location
6101 Pine Ridge Rd
Naples, FL 34119-3900
Mailing address
513 S Washington St
Hinsdale, IL 60521-4436
Phone (630) 649-4980
Other practice location 1
4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-7573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 11, 2025 through Nov 11, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Franklin, TN 37068
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 77.6
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME155028 | FL | MD | Internal Medicine Physician |
Interoperability endpoints
- timothy.martin@27209220882436.direct.elationemr.com
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Physicians Regiona Medical Center-Collier
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
dba Physicians Regional Medical Center-Pine Ridge
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1366902934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 S WASHINGTON ST",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605214436",
"telephone_number": "630-649-4980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 PINE RIDGE RD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341193900",
"telephone_number": "239-354-6000"
}
],
"practiceLocations": [
{
"address_1": "4700 Waters Ave",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314046220",
"country_code": "US",
"telephone_number": "912-350-7573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "TIMOTHY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-21",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME155028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.