NPIMap

Individual provider Active NPI

Fidel Julio Martinez

  • Cardiovascular Disease Physician
  • Torrington, CT
National Provider Identifier
1922452911
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
70415 Issued in CT
Practice address
1215 New Litchfield St
Torrington, CT 06790-7811
Phone
(860) 489-1132
NPI assigned
Apr 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 70415 CT Primary

Addresses

Primary practice location

1215 New Litchfield St
Torrington, CT 06790-7811

Mailing address

1215 New Litchfield St
Torrington, CT 06790-7811
Phone (860) 489-1132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20220803003374 CT Practitioner - Cardiovascular Disease (Cardiology) 3779820386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Charlotte Hungerford HospitalGroup PAC ID 4486557501, 206 clinicians

Practice addresses (Care Compare)

1215 New Litchfield St
Torrington, CT 06790-7811
Phone (860) 489-1132

Hospital & facility affiliations

  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Quality
70.34
Promoting interoperability
100
Improvement activities
40
Cost
75.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70415CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte Hungerford Hospital Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Aug 1, 2022 Accepting new patients

Locations

1215 New Litchfield St
Torrington, CT 06790
Phone (860) 489-1132

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: fmartinez440867@xdr.hhchealthdirect.org

Organizations & group practices 2

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 8

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": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1922452911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 NEW LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907811",
            "telephone_number": "860-489-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 NEW LITCHFIELD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907811",
            "telephone_number": "860-489-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "FIDEL",
        "middle_name": "JULIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-16",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "70415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.