Individual provider Active NPI

Virginia Martinez, M.D.

  • Family Medicine Physician
  • Darien, CT
National Provider Identifier
1972535771
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
72913 Issued in CT
Practice address
1500 Post Rd Ste 203
Darien, CT 06820-5936
Phone
(203) 655-8701
Fax
(203) 655-8948
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 72913 CT Primary

Addresses

Primary practice location

1500 Post Rd Ste 203
Darien, CT 06820-5936

Mailing address

1500 Post Rd Ste 203
Darien, CT 06820-5936
Phone (203) 655-8701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050217000305 NY Practitioner - Internal MedicinePractitioner - Family Practice 6406808526 Reassigns benefits to 2 organizations
I20230720003944 CT Practitioner - Family Practice 6406808526

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Q-Care Affordable Medical Care, PLLCGroup PAC ID 8123173275, 2 clinicians

Practice addresses (Care Compare)

4150 78TH St
Suite 102103
Elmhurst, NY 11373-1944
Phone (718) 606-0187

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coney Island Medical Practice Plan, P.C. CurrentSince Jun 18, 2019 Accepting new patients
Q-Care Affordable Medical Care, PLLC Family Medicine CurrentSince Feb 10, 2025 Accepting new patients
Hillside Polymedic P.C. Family Medicine Past Accepting new patients
Hillside Polymedic Diagnostic & Treatment Center Inc PastSince Apr 8, 2009 Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

4150 78th St
Ste 102103
Elmhurst, NY 11373
Phone (718) 606-0187

4150 78th St
Flushing, NY 11373
Phone (718) 570-6565

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGEHAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1972535771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 POST RD STE 203",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205936",
            "telephone_number": "203-655-8701",
            "fax_number": "203-655-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 POST RD STE 203",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205936",
            "telephone_number": "203-655-8701",
            "fax_number": "203-655-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "72913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

Verify at the official NPI Registry.