Individual provider Active NPI

Calvin W Martin Jr., MD

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1609862234
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME72829 Issued in FL
Practice address
4343 W Newberry Rd
Gainesville, FL 32607-2817
Phone
(352) 416-1082
Fax
(352) 343-6144
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 0072829 FL
Family Medicine Physician 207Q00000X ME72829 FL Primary

Addresses

Primary practice location

4343 W Newberry Rd
Gainesville, FL 32607-2817

Mailing address

4881 NW 8TH Ave
Suite 2
Gainesville, FL 32605-4582
Phone (352) 373-6338

Other identifiers 1

IdentifierTypeStateIssuer
1010558500MedicaidFL

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
I20070926000204 FL Practitioner - Family Practice 2961596622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simedhealth LLCGroup PAC ID 6608137054, 89 clinicians

Practice addresses (Care Compare)

1315 NW 21St Ave
Chiefland, FL 32626-1977
Phone (352) 416-1082

4343 Newberry Rd
Suite 11
Gainesville, FL 32607-2825
Phone (352) 416-1082

4343 W Newberry Rd
Gainesville, FL 32607-2817
Phone (352) 416-1082

4343 W Newberry Rd
Suite 10
Gainesville, FL 32607-2825
Phone (352) 416-1082

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as individual
Quality
77.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0072829FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simedhealth LLC CurrentSince Apr 1, 2018 Accepting new patients
Simed Health LLC CurrentSince Apr 1, 2018 Accepting new patients

Locations

4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338

4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200

4741 NW 8th Ave
Ste A
Gainesville, FL 32605
Phone (352) 374-9790

4343 Newberry Rd
Ste 10
Gainesville, FL 32607
Phone (352) 224-2481

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

3305 SW 34th Cir
Ste 101
Ocala, FL 34474
Phone (352) 373-4321

Interoperability endpoints

  • Direct secure messaging: calvin.martin@simedhealth.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1609862234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 NW 8TH AVE",
            "address_2": "SUITE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054582",
            "telephone_number": "352-373-6338",
            "fax_number": "352-373-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072817",
            "telephone_number": "352-416-1082",
            "fax_number": "352-343-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CALVIN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 0072829",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME72829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010558500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.