Active NPI
Rafael A Martinez, M.D.
- Pulmonary Disease Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME79829
- Practice address
- 4308 N Habana Ave
Tampa, FL 33607-6316 - Phone
- (813) 490-9495
- Fax
- (813) 874-0099
- NPI assigned
- Nov 28, 2006
- Last updated
- Sep 24, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Pulmonary Disease Physician | 207RP1001X | ME79829 | FL | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ME79829 | FL |
Addresses
Primary practice location
4308 N Habana Ave
Tampa, FL 33607-6316
Mailing address
4308 N Habana Ave
Tampa, FL 33607-6316
Phone (813) 490-9495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264303100 | 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
- Pulmonary Disease
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4308 N Habana Ave
Tampa, FL 33607-6362
Phone (813) 654-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary & Sleep of Tampa Bay PL | Pulmonary Disease | Current | Accepting new patients |
| Pulmonary & Sleep of Tampa Bay PL | Pulmonary Disease | Current | Accepting new patients |
| Bay Area Pulmonary Associates, P.a. | Pulmonary Disease | Past | Accepting new patients |
Locations
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
311 Noland Dr
Brandon, FL 33511
Phone (813) 654-8100
4308 N Habana Ave
Tampa, FL 33607
Phone (813) 490-9495
4519 George Rd
Ste 100
Tampa, FL 33634
Phone 8134961075 ext. 218
2329 Crestover Ln
Ste 101
Wesley Chapel, FL 33544
Phone (813) 654-8100
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- rafael.martinez@pstb.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Brandon, FL
- NPI 1821398538
-
- Pulmonary Disease Physician
- Wesley Chapel, FL
- NPI 1952669327
-
- Pulmonary Disease Physician
- Brandon, FL
- NPI 1871668467
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1629144795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 N HABANA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076316",
"telephone_number": "813-490-9495",
"fax_number": "813-874-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 N HABANA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076316",
"telephone_number": "813-490-9495",
"fax_number": "813-874-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "RAFAEL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME79829",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "FL",
"license": "ME79829",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264303100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.