Active NPI
Kimberly Joyal Martins, MD
- Pediatric Adolescent Medicine Physician
- Wilbraham, MA
National Provider Identifier
1518954825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 160102
- Practice address
- 2207 Boston Rd
Wilbraham, MA 01095-1155 - Phone
- (413) 599-1201
- Fax
- (413) 596-2940
- NPI assigned
- Oct 3, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 160102 | MA | Primary |
Addresses
Primary practice location
2207 Boston Rd
Wilbraham, MA 01095-1155
Mailing address
2207 Boston Rd
Wilbraham, MA 01095-1155
Phone (413) 599-1201
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160102 | Other | MA LICENSE | |
| 3194795 | Medicaid | MA | |
| J21389 | Other | BCBS | |
| 000000008138 | Other | BOSTON MED CENTER HLTHNET | |
| 160102 | Other | CONNECTICARE | |
| 24885 | Other | HEALTH NEW ENGLAND | |
| 975888 | Other | NETWORK HEALTH | |
| 102258 | Other | CIGNA | |
| 160102 | Other | TUFTS | |
| 202121 | Other | HARVARD PILGRIM | |
| 01016012MA01 | Other | ANTHEM BCBS | |
| 1240873 | Other | UNITED HEALTHCARE | |
| 28152 | Other | CHILDREN MEDICAL SEC PLAN | |
| 2222559 | Other | AETNA/USHC | |
| 353453 | Other | HEALTHSOURCE MA,NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George F Vitek MD & Associates PC | Adolescent Medicine | Past | Accepting new patients |
Interoperability endpoints
- kmartins14106@direct.chppoc.masshiway.net
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.
-
- Pediatric Adolescent Medicine Physician
- Wilbraham, MA
- NPI 1457393506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1518954825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 BOSTON RD",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010951155",
"telephone_number": "413-599-1201",
"fax_number": "413-596-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 BOSTON RD",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010951155",
"telephone_number": "413-599-1201",
"fax_number": "413-596-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINS",
"first_name": "KIMBERLY",
"middle_name": "JOYAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MA",
"license": "160102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA LICENSE",
"identifier": "160102",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3194795",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J21389",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MED CENTER HLTHNET",
"identifier": "000000008138",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "160102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "24885",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "975888",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "102258",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "160102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "202121",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "01016012MA01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1240873",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDREN MEDICAL SEC PLAN",
"identifier": "28152",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC",
"identifier": "2222559",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE MA,NH",
"identifier": "353453",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilbraham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.