DR. PAUL A MARTINEZ MD
NPI 1164504783
Pediatrics - Pediatric Critical Care Medicine in Miami, FL
About Dr. Paul A Martinez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL A MARTINEZ MD (NPI 1164504783) is an individual pediatric critical care medicine provider in Miami, Florida, licensed in Florida (ME118039) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (1993).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Paul A Martinez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Paul Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33155
- Reassigned Medicare billing, Florida enrollment
- 87 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.
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.
MIAMI, FL 33155
MIAMI, FL 33155
MIAMI, FL 33155
MIAMI, FL 33155
MIAMI, FL 33155
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 Paul Martinez's NPI number?
The NPI number for Paul Martinez is 1164504783. It was assigned to this individual provider in the NPPES registry on October 20, 2006.
Where is Paul Martinez located?
Paul Martinez practices at 3100 SW 62nd Ave Office Of Critical Care Medicine, Miami, FL 33155. The listed phone number is (305) 662-2639.
What is Paul Martinez's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Paul Martinez enrolled in Medicare?
Yes. Paul Martinez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Paul Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Martinez reassigns Medicare benefits to Nicklaus Children's Pediatric Specialists, LLC (Miami, FL). The 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 Paul Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Martinez accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 1 other insurer list Paul 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 Paul Martinez was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Paul A Martinez, MD · NPI 1164504783
Pediatric Critical Care Medicine physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1164504783 (Entity type: Individual)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** ME118039 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3100 SW 62ND AVE, OFFICE OF CRITICAL CARE MEDICINE, Miami, FL 33155-3009
- **Phone:** (305) 662-2639
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Nicklaus Children's Pediatric Specialists, LLC (NPI 1003360959, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 1993
## Record status
- **NPPES last updated:** February 1, 2017
- **Other identifiers:** Medicaid 1971388 (NY); Medicare UPIN H00594 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1164504783) · Data from the CMS NPPES public registry.