Joel L Martin, M D

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME0016209 Issued in FL

Practice address

3939 Hollywood Blvd
Ste 3a
Hollywood, FL 33021-6749

Phone

(954) 961-7700

Fax

(954) 961-0092

NPI assigned

Jun 23, 2005

Reactivated

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

Urology

Education

Other, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology Professionals of South Florida LLCGroup PAC ID 9638499593, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Joel L Martin M D P a

  • Urology Physician
  • Hollywood, FL
  • NPI 1326219627
  Medicare reassignment NPD Authorized official
• Urology Professionals of South Florida LLC

  • Urology Physician
  • Hollywood, FL
  • NPI 1578964524
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Broward Hospital District

  • General Acute Care Hospital
  • Hollywood, FL
  • NPI 1780667923
  Care Compare affiliation

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1679579676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOLLYWOOD BLVD",
            "address_2": "STE 3A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216749",
            "telephone_number": "954-961-7700",
            "fax_number": "954-961-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOLLYWOOD BLVD",
            "address_2": "STE 3A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216749",
            "telephone_number": "954-961-7700",
            "fax_number": "954-961-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0016209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "341998433",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1902072",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "203294",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S",
            "identifier": "06844",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0065443",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4068841",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049413500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renae A Marston
• Leticia Marti Horruitiner
• Sonia Martin Llorca, APRN
• Miguel Angel Martin Menendez, RBT
• Angel Iran Martin, M.D.
• Laura Martin, D.O.
• Meliza Martin
• Philippe Martin
• Tyshawn Martin, LPN
• Glisset Martinez Amable, RBT

• Urology Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.

Verify at the official NPI Registry.