Individual provider Active NPI

Roger David Martinez, M.D.

  • Adult Medicine Physician
  • Soldotna, AK
National Provider Identifier
1437364122
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
3329 Issued in AK
Practice address
Central Peninsula General Hospital 250 Hospital Place
Emergency Department
Soldotna, AK 99669
Phone
(907) 714-4444
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 3329 AK Primary

Addresses

Primary practice location

Central Peninsula General Hospital 250 Hospital Place
Emergency Department
Soldotna, AK 99669

Mailing address

Central Peninsula General Hospital 250 Hospital Place
Emergency Department
Soldotna, AK 99669
Phone (907) 714-4444

Other identifiers 1

IdentifierTypeStateIssuer
41144MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20060327000378 AK Practitioner - Emergency Medicine 2466460845 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of SewardGroup PAC ID 2466362280, shared by 4 NPIs, 18 clinicians

Practice addresses (Care Compare)

417 1St Ave
Seward, AK 99664-0365
Phone (907) 224-5205

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93 of 100Reported as group
Quality
62.16
Promoting interoperability
100
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3329AKMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Peninsula Hospital, Inc CurrentSince Sep 26, 2016 Accepting new patients
City of Seward CurrentSince Jan 1, 2026 Accepting new patients
City of Seward CurrentSince May 1, 2008 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince May 2, 2018 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Sep 26, 2016 Accepting new patients
City of Seward CurrentSince May 1, 2008 Accepting new patients

Locations

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
  • Direct secure messaging: rmartinez70920@ak.providencedirect.org

Organizations & group practices 6

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 2

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437364122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRAL PENINSULA GENERAL HOSPITAL 250 HOSPITAL PLACE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-714-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL PENINSULA GENERAL HOSPITAL 250 HOSPITAL PLACE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-714-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ROGER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AK",
            "license": "3329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41144",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.