Individual provider Active NPI

Rafael A Martinez, M.D.

  • Pulmonary Disease Physician
  • Tampa, FL
National Provider Identifier
1629144795
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME79829 Issued in FL
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
264303100MedicaidFL

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
I20090522000420 FL Practitioner - Pulmonary Disease 6406905355 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Pulmonary & Sleep of Tampa Bay PL Pulmonary Disease CurrentSince Jan 2, 2011 Accepting new patients
Pulmonary & Sleep of Tampa Bay PL Pulmonary Disease CurrentSince Jan 2, 2011 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.