Active NPI
Jose Luis Martinez, M.D.
- Gastroenterology Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0065252
- Practice address
- 2140 W 68TH St
Suite 300
Hialeah, FL 33016-1815 - Phone
- (305) 822-4108
- Fax
- (305) 822-5086
- NPI assigned
- Oct 5, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0065252 | FL | Primary |
Addresses
Primary practice location
2140 W 68TH St
Suite 300
Hialeah, FL 33016-1815
Mailing address
2140 W 68TH St
Ste 300
Hialeah, FL 33016-1815
Phone (305) 822-4108
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28194 | Other | FL | BC/BS |
| 252477500 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of South Florida College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2140 W 68 St
Suite 300
Hialeah, FL 33016-1815
2140 W 68TH St
Suite 300
Hialeah, FL 33016-1815
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 37 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0065252 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Medicine Associates | Gastroenterology | Current | Accepting new patients |
Locations
3133 Ponce de Leon Blvd
Coral Gables, FL 33134
2140 W 68th St
Ste 300
Hialeah, FL 33016
Phone (305) 822-4107
2140 W 68th St
Ste 102
Hialeah, FL 33016
Phone (305) 822-4107
11410 N Kendall Dr
Ste 311
Miami, FL 33176
Phone (866) 347-1821
Interoperability endpoints
- josemartinez@dma.allscriptsdirect.net
- wghjlmart@yourcarecommunity.org
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Hialeah, FL
- NPI 1700867488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1508853490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 W 68TH ST",
"address_2": "STE 300",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161815",
"telephone_number": "305-822-4108",
"fax_number": "786-497-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 W 68TH ST",
"address_2": "SUITE 300",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161815",
"telephone_number": "305-822-4108",
"fax_number": "305-822-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JOSE",
"middle_name": "LUIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0065252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "28194",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252477500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.