Individual provider Active NPI

Leandro Ariel Martinez, M.D.

  • Hospitalist Physician
  • Salt Lake City, UT
National Provider Identifier
1962771386
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
9045511-1205 Issued in UT
Practice address
144 S 500 E
2ND Floor
Salt Lake City, UT 84102-1907
Phone
(646) 358-7059
Fax
(801) 463-7341
NPI assigned
Dec 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME115017 FL
Hospitalist Physician 208M00000X 9045511-1205 UT Primary

Addresses

Primary practice location

144 S 500 E
2ND Floor
Salt Lake City, UT 84102-1907

Mailing address

1484 Avon LN
2ND Floor
North Lauderdale, FL 33068-5584
Phone (646) 358-7059

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmartinez104665@MHSDIRECT.NET

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
I20130906000199 FL Practitioner - Internal Medicine 1254574452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastside Hospitalists IncGroup PAC ID 9436157831, 179 clinicians

Practice addresses (Care Compare)

1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1000

3030 W Bearss Ave
Tampa, FL 33618-1811
Phone (813) 968-8777

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115017FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
Eastside Hospitalists Inc Hospitalist CurrentSince Mar 24, 2021 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Howard B Reinfeld and Assoc MD PA PastSince Mar 17, 2010 Accepting new patients
QMC LLC Hospitalist PastSince Feb 1, 2021 Accepting new patients

Locations

21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • Direct secure messaging: lmartinez104665@mhsdirect.net

Organizations & group practices 6

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 1

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1962771386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 AVON LN",
            "address_2": "2ND FLOOR",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330685584",
            "telephone_number": "646-358-7059",
            "fax_number": "801-463-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S 500 E",
            "address_2": "2ND FLOOR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021907",
            "telephone_number": "646-358-7059",
            "fax_number": "801-463-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LEANDRO",
        "middle_name": "ARIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-14",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME115017",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "9045511-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmartinez104665@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "3501 Johnson St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.