NPIMap

Individual provider Active NPI

Ismael Martin, DO

  • Pulmonary Disease Physician
  • Naples, FL
National Provider Identifier
1750353322
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OS9649 Issued in FL
Practice address
6101 Pine Ridge Rd FL 3
Naples, FL 34119-3900
Phone
(239) 315-7123
Fax
(239) 315-7122
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 100527 WI
Pulmonary Disease Physician 207RP1001X OS9649 FL Primary

Addresses

Primary practice location

6101 Pine Ridge Rd FL 3
Naples, FL 34119-3900

Mailing address

311 9TH St N
Suite 100
Naples, FL 34102
Phone (239) 624-8250

Other practice location 1

8340 Collier Blvd Ste 307
Naples, FL 34114-3626
Phone (239) 315-7123

Other practice location 2

1821 S Webster Ave
Green Bay, WI 54301-2253
Phone (920) 496-4700

Other identifiers 1

IdentifierTypeStateIssuer
001414630MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imartin383965@ewd.direct.hshs.org Direct St Vincent Hospital-Hospital Sisters-Third Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926001781 MI Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9436051612 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Nova Southeastern College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Mi PLLCGroup PAC ID 6002332012, 13 clinicians
Capitol Area Pulmonary Associates PCGroup PAC ID 3274856547, 6 clinicians

Practice addresses (Care Compare)

11525 E 10 Mile Rd
Hamony Village of Warren
Warren, MI 48089-3802
Phone (586) 759-0700

3960 Patient Care Dr
Suite 109
Lansing, MI 48911-4276
Phone 5175745645106

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100527WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Mi PLLC CurrentSince Jan 31, 2026 Accepting new patients
M Medical Mi PLLC Pulmonary Disease CurrentSince Jan 31, 2026 Accepting new patients
Capitol Area Pulmonary Associates PC Pulmonary Disease CurrentSince Oct 15, 2023 Accepting new patients
Anchor Health Centers PA Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Past Accepting new patients
Bradenton Pulmonary Consultants PA Pulmonary Disease Past Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients

Locations

5201 Conner St
Detroit, MI 48213
Phone (313) 571-5555

4220 Hospital Dr
East China, MI 48054
Phone (810) 329-4735

3960 Patient Care Dr
Ste 109
Lansing, MI 48911
Phone (517) 574-5645

11525 E 10 Mile Rd
Warren, MI 48089
Phone (586) 759-0700

Interoperability endpoints

  • Direct secure messaging: ismael.martin.2@15599.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15599/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1750353322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 9TH ST N",
            "address_2": "SUITE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34102",
            "telephone_number": "239-624-8250",
            "fax_number": "239-430-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD FL 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-315-7123",
            "fax_number": "239-315-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8340 Collier Blvd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341143626",
            "country_code": "US",
            "telephone_number": "239-315-7123",
            "fax_number": "239-315-7122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 S Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543012253",
            "country_code": "US",
            "telephone_number": "920-496-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ISMAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "100527",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS9649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001414630",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imartin383965@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1821 S Webster Ave",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543012253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.