Active NPI
Roger David Martinez, M.D.
- Adult Medicine Physician
- Soldotna, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 3329
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41144 | Medicaid | AK |
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
Enrollment records 1
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 Seward
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 100
- Quality
- 62.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.59 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3329 | AK | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Peninsula Hospital, Inc | Current | Accepting new patients | |
| City of Seward | Current | Accepting new patients | |
| City of Seward | Current | Accepting new patients | |
| South Peninsula Hospital, Inc. | Current | Accepting new patients | |
| South Peninsula Hospital, Inc | Current | Accepting new patients | |
| City of Seward | Current | Accepting new patients |
Locations
4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
- 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.
-
- Critical Access Hospital
- Seward, AK
- NPI 1396858155
-
- Critical Access Hospital
- Seward, AK
- NPI 1841372943
-
- Critical Access Hospital
- Homer, AK
- NPI 1093968372
-
- Critical Access Hospital
- Homer, AK
- NPI 1679566269
-
- Home Health Agency
- Seward, AK
- NPI 1912011842
-
- Home Health Agency
- Homer, AK
- NPI 1164400750
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Seward, AK
- NPI 1396858155
-
- Critical Access Hospital
- Homer, AK
- NPI 1093968372
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- 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.