Edouard Rene Martin, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME59266 Issued in FL

Practice address

2951 NW 49TH Ave.
Suite #101
Lauderdale Lakes, FL 33313

Phone

(954) 739-2511

Fax

(954) 739-9239

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

NephrologyAlso: Internal Medicine

Education

Yale University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Florida Nephrology Associates P aGroup PAC ID 5294702791, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Florida Kidney Center Dialysis facility, Lauderhill, FL, CCN 102559
• FMC Dialysis Services - Ft Lauderdale Dialysis facility, Fort Lauderdale, FL, CCN 102767
• Tamarac Kidney Center Dialysis facility, Tamarac, FL, CCN 102629
• Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
• Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
• North Shore Medical Center Hospital, Miami, FL, CCN 100029
• University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20344/brand/1/csg/1/fhir/r4
• Direct secure messaging: edouard.martin.1@20344.direct.athenahealth.com

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.

• South Florida Nephrology Associates P a

  • Nephrology Physician
  • Lauderdale Lakes, FL
  • NPI 1538253778
  Medicare reassignment Care Compare group NPD

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

• Bio-Medical Applications of Florida, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Plantation, FL
  • NPI 1326150186

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Florida, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lauderhill, FL
  • NPI 1861504607

  Dialysis facility

  Care Compare affiliation Name & address match
• Columbia Hospital Corporation of South Broward

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1063466589
  Care Compare affiliation
• Hsa NSMC LLC

  • General Acute Care Hospital
  • Lauderdale Lakes, FL
  • NPI 1184440828
  Care Compare affiliation
• Hsa NSMC LLC

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1194552141
  Care Compare affiliation
• North Broward Hospital District

  • General Acute Care Hospital
  • Fort Lauderdale, FL
  • NPI 1285662239
  Care Compare affiliation
• University Hospital, LTD.

  • General Acute Care Hospital
  • Tamarac, FL
  • NPI 1144274770
  Care Compare affiliation

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1831182880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE.",
            "address_2": "#101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-739-2511",
            "fax_number": "954-739-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE.",
            "address_2": "SUITE #101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-739-2511",
            "fax_number": "954-739-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EDOUARD",
        "middle_name": "RENE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME59266",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME59266",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056913500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12490",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AV MED",
            "identifier": "205874",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1000619",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari E Marcus
• Carole Lynnette Marks, DNP, FNP-BC
• Alexis Florine Marsh-Vermette
• Vicky Jasmine Marsh, DO
• Marshall J. Brumer, MD, PA
• Amaya Martinez Delgado
• Matthew L Carr MD PA
• Matthew L. Carr, M.D.
• Maximum Home Health, Inc
• Tamika M Maxwell, DO

• Nephrology Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.