RICHARD M MARTINEZ M.D.
NPI 1700823721
Pediatrics - Pediatric Cardiology in St Petersburg, FL
NPI Status: Active since May 31, 2006
Contact Information
840 DR MARTIN LUTHER KING JR ST N
100
ST PETERSBURG, FL
ZIP 33705
Phone: (727) 767-4200
Fax: (954) 858-0404
- Individual
- Male
- Pediatrics
- Pediatric Cardiology
- PECOS Enrolled
- Medicare Quality Reporting
About RICHARD MARTINEZ
This page provides the complete NPI Profile along with additional information for Richard Martinez, a pediatrician established in St Petersburg, Florida with a medical specialization in Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1700823721 assigned on May 2006. The practitioner's primary taxonomy code is 2080P0202X with license number 47616 (FL). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1700823721
- Provider Name
- RICHARD M MARTINEZ M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 840 DR MARTIN LUTHER KING JR ST N 100 ST PETERSBURG, FL 33705
- Location Phone
- (727) 767-4200
- Location Fax
- (954) 858-0404
- Mailing Address
- 1500 CONCORD TER SUNRISE, FL 33323
- Mailing Phone
- (800) 243-3839
- Mailing Fax
- (954) 858-0404
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-31-2006
- Last Update Date
- 06-03-2014
- Code Navigator
A pediatrician like Richard Martinez is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Cardiology
- Taxonomy Code
- 2080P0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 47616
- License State
- FL
- Taxonomy Description
- A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02408W | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | |
| D50500 | MEDICARE UPIN (02) | FL | |
| 044110400 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Richard Martinez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 51 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 8 | 2 | 3 | 7 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 16 | 2 | 6 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 6 + 2 + 6 + 7 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1700823721 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669699500 | STEPHANIE ANN KURTZ MD Individual | Pediatrics (Pediatric Cardiology) | 840 DR MARTIN LUTHER KING JR ST N ST PETERSBURG, FL 33705 (727) 767-4200 |
| 1699106252 | MS. STEPHANIE MARGARET MIRSKY MSN, ARNP, CPNP-PC Individual | Nurse Practitioner (Pediatrics) | 840 DR MARTIN LUTHER KING JR ST N SUITE 100 ST PETERSBURG, FL 33705 (727) 767-4200 |
| 1801835764 | BAY PINES VAMC Organization | Clinic/Center (VA) | 840 DR MARTIN LUTHER KING JR ST N ST PETERSBURG, FL 33705 (866) 793-4591 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700823721, enumerated in the NPI registry as an "individual" on May 31, 2006
The provider is located at 840 Dr Martin Luther King Jr St N 100 St Petersburg, Fl 33705 and the phone number is (727) 767-4200
The provider's speciality is Pediatrics with taxonomy code 2080P0202X with a focus in Pediatric Cardiology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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