Individual provider Active NPI

Pedro Pablo Martin, M.D.

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1376828970
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME113615 Issued in FL
Practice address
12264 Tamiami TRL E Ste 203
Naples, FL 34113-7942
Phone
(239) 999-4949
Fax
(239) 999-4959
NPI assigned
Oct 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME113615 FL Primary

Addresses

Primary practice location

12264 Tamiami TRL E Ste 203
Naples, FL 34113-7942

Mailing address

12264 Tamiami TRL E Ste 203
Naples, FL 34113-7942
Phone (239) 999-4949

Other identifiers 3

IdentifierTypeStateIssuer
14N0WOtherFLBCBS
006576400MedicaidFL
GM452VOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120925000239 FL Practitioner - Internal Medicine 8527217116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12264 Tamiami TRL E
Suite 203
Naples, FL 34113-7942
Phone (239) 999-4949

Hospital & facility affiliations

  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Goshen Hospital Hospital, Goshen, IN, CCN 150026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro P Martin MD, PA Internal Medicine CurrentSince Mar 24, 2025 Accepting new patients
Cephas Medical Center Internal Medicine CurrentSince Jun 7, 2023 Accepting new patients
Inpatient Medical Services, Inc Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Cogent Healthcare of Fort Myers, LLC Internal Medicine Past Accepting new patients
Internal Medicine Associates of Lee County Hospitalist Group, LLC Past Accepting new patients

Locations

2525 First St
Fort Myers, FL 33901
Phone (239) 332-3333

1154 Lee Blvd
Ste 3
Lehigh Acres, FL 33936
Phone (239) 230-2273

12264 Tamiami Trl E
Ste 203
Naples, FL 34113
Phone (239) 304-9071

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDCDD/Endpoint/EEDCDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1376828970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12264 TAMIAMI TRL E STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137942",
            "telephone_number": "239-999-4949",
            "fax_number": "239-999-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 TAMIAMI TRL E STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137942",
            "telephone_number": "239-999-4949",
            "fax_number": "239-999-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PEDRO",
        "middle_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-14",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME113615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14N0W",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006576400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GM452V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.