Individual provider Active NPI

Dacelin St Martin, MD

  • Internal Medicine Physician
  • Lecanto, FL
National Provider Identifier
1457392136
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME90844 Issued in FL
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

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
269996600MedicaidFL

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
I20040728001357 FL Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Sleep Medicine 5395715239 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine, Sleep Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pedim Outreach and Specialty Clinic LLCGroup PAC ID 7315227782, 2 clinicians
Pediatric and Internal Medicine Specialists IncGroup PAC ID 4486672391, 15 clinicians

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 Home health agency, Spring Hill, FL, CCN 108068
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023
  • Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C167271CAMDSleep Medicine (Internal Medicine) Physician
MD-46944IAMDSleep Medicine (Internal Medicine) Physician
036.151724ILMDSleep Medicine (Internal Medicine) Physician
01082741AINMDSleep Medicine (Internal Medicine) Physician
205680MAMDSleep Medicine (Internal Medicine) Physician
MD23213MEMDSleep Medicine (Internal Medicine) Physician
300985NYMDSleep Medicine (Internal Medicine) Physician
35.137194OHMDSleep Medicine (Internal Medicine) Physician
MD0000059707TNMDSleep Medicine (Internal Medicine) Physician
11463402-1205UTMDSleep Medicine (Internal Medicine) Physician
0101268192VAMDSleep Medicine (Internal Medicine) Physician

Practice roles (16 of 17)

OrganizationSpecialtyStatusNew patients
Pediatric and Internal Medicine Specialists Inc Internal Medicine CurrentSince Nov 4, 2004 Accepting new patients
Quick Care Med, LLC CurrentSince Nov 30, 2011 Accepting new patients
Pedim Outreach and Specialty Clinic LLC Internal Medicine CurrentSince Sep 1, 2016 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 PastSince Nov 30, 2011 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 PastSince Nov 30, 2011 Accepting new patients
Quick Care Med, LLC PastSince Nov 30, 2011 Accepting new patients
Quick Care Med, LLC PastSince Nov 30, 2011 Accepting new patients
Collier Health Services Inc Past Accepting new patients
Quick Care Med, LLC PastSince Nov 30, 2011 Accepting new patients
Quick Care Med, LLC PastSince Nov 30, 2011 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

  • Direct secure messaging: dacelin.stmartin@pedim.eclinicaldirectplus.com
  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.