Active NPI
Dacelin St Martin, MD
- Internal Medicine Physician
- Lecanto, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME90844
- Practice address
- 1990 N Prospect Ave
Lecanto, FL 34461-9792 - Phone
- (352) 527-6888
- Fax
- (352) 527-8818
- NPI assigned
- Jun 10, 2006
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ME90844 | FL | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD0000059707 | TN | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD23213 | ME | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 0101268192 | VA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 205680 | MA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD-46944 | IA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 036.151724 | IL | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 300985 | NY | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 11463402-1205 | UT | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 35.137194 | OH | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | C167271 | CA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 01082741A | IN | |
| Pediatrics Physician | 208000000X | ME90844 | FL | |
| Pediatric Sleep Medicine Physician | 2080S0012X | ME90844 | FL | |
| Internal Medicine Physician | 207R00000X | ME90844 | FL | Primary |
Addresses
Primary practice location
1990 N Prospect Ave
Lecanto, FL 34461-9792
Mailing address
PO Box 2066
Lecanto, FL 34460-2066
Phone (352) 527-6888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269996600 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040728001357 | FL | Practitioner - Internal Medicine | 5395715239 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1982 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 563-0931
1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888
Hospital & facility affiliations
- Pinnacle Home Care of Spring Hill Inc
- Vitas Healthcare Corporation of Florida
- HCA Florida Citrus Hospital
- Tampa General Hospital Crystal River
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C167271 | CA | MD | Sleep Medicine (Internal Medicine) Physician |
| MD-46944 | IA | MD | Sleep Medicine (Internal Medicine) Physician |
| 036.151724 | IL | MD | Sleep Medicine (Internal Medicine) Physician |
| 01082741A | IN | MD | Sleep Medicine (Internal Medicine) Physician |
| 205680 | MA | MD | Sleep Medicine (Internal Medicine) Physician |
| MD23213 | ME | MD | Sleep Medicine (Internal Medicine) Physician |
| 300985 | NY | MD | Sleep Medicine (Internal Medicine) Physician |
| 35.137194 | OH | MD | Sleep Medicine (Internal Medicine) Physician |
| MD0000059707 | TN | MD | Sleep Medicine (Internal Medicine) Physician |
| 11463402-1205 | UT | MD | Sleep Medicine (Internal Medicine) Physician |
| 0101268192 | VA | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles (16 of 17)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric and Internal Medicine Specialists Inc | Internal Medicine | Current | Accepting new patients |
| Quick Care Med, LLC | Current | Accepting new patients | |
| Pedim Outreach and Specialty Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Pedim Outreach and Specialty Clinic LLC | Past | Accepting new patients | |
| Pediatric and Internal Medicine Specialists, PA | Past | Accepting new patients | |
| Quick Care Med, LLC | Past | Accepting new patients | |
| Pediatric and Internal Medicine Specialists Inc | Past | Accepting new patients | |
| Quick Care Med, LLC | Past | Accepting new patients | |
| Pedim Outreach and Specialty Clinic LLC | Internal Medicine | Past | Accepting new patients |
| Quick Care Med, LLC | Past | Accepting new patients | |
| Quick Care Med, LLC | Past | Accepting new patients | |
| Quick Care Med, LLC | Past | Accepting new patients | |
| Collier Health Services Inc | Past | Accepting new patients | |
| Quick Care Med, LLC | Past | Accepting new patients | |
| Quick Care Med, LLC | Past | Accepting new patients | |
| Pediatric and Internal Medicine Specialists Inc | Internal Medicine | Past | Accepting new patients |
Locations
3925 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 527-7336
2205 N Young Blvd
Chiefland, FL 32626
Phone (352) 535-2273
659 SE US Highway 19
Unit 1
Crystal River, FL 34429
Phone (352) 563-0911
659 NE US Highway 19
Unit 1
Crystal River, FL 34429
Phone (352) 563-0911
11371 N Williams St
Ste 4
Dunnellon, FL 34432
Phone (352) 465-2273
3956 S Suncoast Blvd
Homosassa, FL 34448
Phone (352) 628-0911
8468 W Periwinkle Ln
Homosassa, FL 34446
Phone (352) 621-0271
1907 Highway 44 W
Inverness, FL 34453
Phone (352) 344-2273
1982 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6888
1990 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6858
2385 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-6888
6341 N US Highway 441
Ocala, FL 34475
Phone (352) 402-0911
8119 SW Highway 200
Ocala, FL 34481
Phone (352) 854-9355
514 W Noble Ave
Williston, FL 32696
Phone (352) 528-9355
Networks
- Freedom Health HMO Network
Interoperability endpoints
- dacelin.stmartin@pedim.eclinicaldirectplus.com
- dacelin.stmartin.md@org52.direct.charmhealth.com
Organizations & group practices 18
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Lecanto, FL
- NPI 1851848097
FL, Internal Medicine
-
- Family Medicine Physician
- Lecanto, FL
- NPI 1396805115
FL
-
- Sleep Disorder Diagnostic Clinic/Center
- Lecanto, FL
- NPI 1922306109
-
- Family Medicine Physician
- Lecanto, FL
- NPI 1558128819
-
- Internal Medicine Physician
- Inverness, FL
- NPI 1710674205
Internal Medicine
-
- Internal Medicine Physician
- Inverness, FL
- NPI 1164121513
Internal Medicine
-
- General Practice Physician
- Crystal River, FL
- NPI 1134781867
-
- Federally Qualified Health Center (FQHC)
- Immokalee, FL
- NPI 1609827211
-
- Family Medicine Physician
- Lecanto, FL
- NPI 1659056117
Internal Medicine
-
- Rural Health Clinic/Center
- Lecanto, FL
- NPI 1437575693
-
- General Practice Physician
- Inverness, FL
- NPI 1033804661
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Spring Hill, FL
- NPI 1467488999
-
- General Acute Care Hospital
- Crystal River, FL
- NPI 1407637531
Hospital
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
Hospice
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
Hospice
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
Hospice
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1457392136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2066",
"city": "LECANTO",
"state": "FL",
"postal_code": "344602066",
"telephone_number": "352-527-6888",
"fax_number": "352-527-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 N PROSPECT AVE",
"city": "LECANTO",
"state": "FL",
"postal_code": "344619792",
"telephone_number": "352-527-6888",
"fax_number": "352-527-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST MARTIN",
"first_name": "DACELIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "FL",
"license": "ME90844",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "TN",
"license": "MD0000059707",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "ME",
"license": "MD23213",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "VA",
"license": "0101268192",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MA",
"license": "205680",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IA",
"license": "MD-46944",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IL",
"license": "036.151724",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NY",
"license": "300985",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "UT",
"license": "11463402-1205",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "OH",
"license": "35.137194",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "C167271",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IN",
"license": "01082741A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME90844",
"primary": false
},
{
"code": "2080S0012X",
"taxonomy_group": "",
"desc": "Pediatrics, Sleep Medicine",
"state": "FL",
"license": "ME90844",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME90844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269996600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.