JULIO FERNANDO MARTINEZ
NPI 1104289107
Pediatrics in Cambridge, MA
About Julio Fernando Martinez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIO FERNANDO MARTINEZ (NPI 1104289107) is an individual pediatrics provider in Cambridge, Massachusetts, licensed in Massachusetts (1026728) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Julio Fernando Martinez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Julio Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cambridge, MA 02139
- Reassigned Medicare billing, Massachusetts enrollment
- 719 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Julio Martinez's NPI number?
The NPI number for Julio Martinez is 1104289107. It was assigned to this individual provider in the NPPES registry on March 29, 2016.
Where is Julio Martinez located?
Julio Martinez practices at 1493 Cambridge St, Cambridge, MA 02139. The listed phone number is (617) 665-1264.
What is Julio Martinez's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Julio Martinez enrolled in Medicare?
Yes. Julio Martinez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Julio Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julio Martinez reassigns Medicare benefits to 2 organizations: Cambridge Public Health Commission (Cambridge, MA) and Duke Health Integrated Practice, Inc (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julio Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Julio Martinez accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 2 other insurers list Julio Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Julio Martinez was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.