DR. ERNESTO SANZ MARTINEZ M.D.
NPI 1144595307
Family Medicine in Doral, FL

Active since March 20, 2012PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
9915 NW 41ST ST, DORAL, FL 33178(305) 243-2951 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ernesto Sanz Martinez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERNESTO SANZ MARTINEZ M.D. (NPI 1144595307) is an individual family medicine provider in Doral, Florida, licensed in Florida (ME121839) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1144595307
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERNESTO SANZ MARTINEZCredential: M.D.
Location Address9915 NW 41ST STDoral, FL 33178-2445
Mailing Address9915 Nw 41st StDoral, FL 33178-2445 · (305) 243-2951
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 20, 2012
Last NPPES UpdateJuly 30, 2015
✔ NPI 1144595307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME121839
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9915 NW 41ST ST, Doral, FL 33178

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

Dr. Ernesto Sanz Martinez M.d. 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.

PECOS PAC ID8628384880
PECOS Enrollment IDI20150902001462
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ernesto Sanz Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
14701 NW 77TH AVE
Miami Lakes, FL 33014
  • Reassigned Medicare billing, Florida enrollment
  • 163 clinicians in this Medicare group
Internal Medicine
8932 SW 97TH AVE
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33178 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine (Emergency Medical Services)
9915 NW 41ST ST
DORAL, FL 33178
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9915 NW 41ST ST, SUITE 230
DORAL, FL 33178
Internal Medicine
9915 NW 41ST ST
DORAL, FL 33178
Clinic/Center (Emergency Care)
9915 NW 41ST ST
DORAL, FL 33178
Non-Pharmacy Dispensing Site
9915 NW 41ST ST
DORAL, FL 33178
Internal Medicine
9915 NW 41ST ST, SUITE 200
DORAL, FL 33178
Emergency Medicine
9915 NW 41ST ST
DORAL, FL 33178

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 Ernesto Sanz Martinez's NPI number?

The NPI number for Ernesto Sanz Martinez is 1144595307. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Ernesto Sanz Martinez located?

Ernesto Sanz Martinez practices at 9915 NW 41st St, Doral, FL 33178. The listed phone number is (305) 243-2951.

What is Ernesto Sanz Martinez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ernesto Sanz Martinez enrolled in Medicare?

Yes. Ernesto Sanz 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 Ernesto Sanz Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ernesto Sanz Martinez reassigns Medicare benefits to 2 organizations: Criticare Clinics Inc (Miami Lakes, FL) and University Of Miami (Miami, FL). 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 Ernesto Sanz Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ernesto Sanz Martinez accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Ernesto Sanz 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.

Is Ernesto Sanz Martinez affiliated with any hospitals?

According to CMS data, Ernesto Sanz Martinez is affiliated with South Miami Hospital.

When was this NPI record last updated?

The NPPES record for Ernesto Sanz Martinez was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.