NPIMap

Individual provider Active NPI

Christy Lee Martinez, MD

  • Family Medicine Physician
  • Homer, AK
National Provider Identifier
1780013532
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
104618 Issued in AK
Practice address
4047 Bartlett St
Homer, AK 99603-7566
Phone
(907) 206-2730
Fax
(833) 438-1910
NPI assigned
Nov 2, 2013
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 104618 AK Primary

Addresses

Primary practice location

4047 Bartlett St
Homer, AK 99603-7566

Mailing address

4047 Bartlett St
Homer, AK 99603-7566
Phone (907) 206-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20160825002140 AK Practitioner - Family Practice 4981999281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ninilchik VillageGroup PAC ID 9638347149, 11 clinicians

Practice addresses (Care Compare)

15765 Kingsley Rd
Ninilchik, AK 99639-9759
Phone (907) 567-3970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104618AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Peninsula Hospital, Inc CurrentSince Jul 21, 2016 Accepting new patients
Ninilchik Village CurrentSince May 16, 2025 Accepting new patients
South Peninsula Hospital, Inc. Family Medicine CurrentSince Jul 21, 2016 Accepting new patients
South Peninsula Hospital, Inc Past Accepting new patients

Locations

4136 Bartlett St
Homer, AK 99603
Phone (907) 235-6127

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

Interoperability endpoints

  • Direct secure messaging: christy.martinez.1@32541.direct.athenahealth.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf

Organizations & group practices 4

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1780013532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037566",
            "telephone_number": "907-206-2730",
            "fax_number": "833-438-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037566",
            "telephone_number": "907-206-2730",
            "fax_number": "833-438-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CHRISTY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "104618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.