Individual provider Active NPI

Santiago Martinez, MD

  • Allergy & Immunology Physician
  • Orlando, FL
National Provider Identifier
1760405203
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME57308 Issued in FL
Practice address
44 W Michigan St
Orlando, FL 32806-4453
Phone
(407) 422-4921
Fax
(407) 644-5445
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME57308 FL Primary

Addresses

Primary practice location

44 W Michigan St
Orlando, FL 32806-4453

Mailing address

5929 Balcones Dr
Ste 200
Austin, TX 78731-4280
Phone (512) 550-1800

Other identifiers 1

IdentifierTypeStateIssuer
374779400MedicaidFL

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
I20090528000444 FL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 9335298066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ear Nose and Throat Surgical Associates PAGroup PAC ID 2466437926, 49 clinicians

Practice addresses (Care Compare)

44 W Michigan St
Orlando, FL 32806-4453
Phone (321) 422-4921

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Ear Nose and Throat Surgical Associates PA CurrentSince Feb 10, 2025 Accepting new patients
Mai Vo & Associates LLC PastSince May 28, 2023 Accepting new patients
Statmed Quick Quality Clinic at North Pinellas LLC PastSince Apr 1, 2021 Accepting new patients

Locations

400 Celebration Pl
Ste A120
Kissimmee, FL 34747
Phone (407) 228-8066

12315 Lake Underhill Rd
Ste A
Orlando, FL 32828
Phone (407) 380-0302

44 W Michigan St
Orlando, FL 32806
Phone (407) 422-4921

133 Benmore Dr
Ste 100
Winter Park, FL 32792

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1760405203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314280",
            "telephone_number": "512-550-1800",
            "fax_number": "512-233-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064453",
            "telephone_number": "407-422-4921",
            "fax_number": "407-644-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SANTIAGO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME57308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374779400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.