MICHELLE JANANIA MARTINEZ M.D.
NPI 1164836318
Internal Medicine - Hematology & Oncology in Charlotte, NC

Q: What is Michelle Janania Martinez's NPI number?

The NPI number for Michelle Janania Martinez is 1164836318. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Q: What is Michelle Janania Martinez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since June 16, 2014PECOS EnrolledAccepts Medicare Assignment

76.69/100

CMS Quality Rating

15830 BALLANTYNE MEDICAL PL STE 200, CHARLOTTE, NC 28277(980) 442-9600 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2026, Jan 14, 2021, Aug 27, 2020 and 2 more (5 updates tracked since 2016).

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About Michelle Janania Martinez M.d. NPPES

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

MICHELLE JANANIA MARTINEZ M.D. (NPI 1164836318) is an individual hematology & oncology provider in Charlotte, North Carolina, licensed in South Dakota (11765) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164836318

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameMICHELLE JANANIA MARTINEZCredential: M.D.

Location Address15830 BALLANTYNE MEDICAL PL STE 200Charlotte, NC 28277

Mailing Address15830 Ballantyne Medical Pl Ste 200Charlotte, NC 28277-0761 · (980) 442-9600

Phone(980) 442-9600

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 16, 2014

Last NPPES UpdateMarch 26, 20265 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1164836318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in SD · 11765

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

15830 BALLANTYNE MEDICAL PL STE 200, Charlotte, NC 28277

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Michelle Janania 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 ID6103124284

PECOS Enrollment IDI20250318000511

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 Reassignment

Medicare enrollment records show Michelle Janania Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Charlotte-Mecklenburg Hospital Authority

Same address

Internal Medicine

15830 BALLANTYNE MEDICAL PL, STE 200
Charlotte, NC 28277

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1982038683 (980) 442-9600

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 5

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.

166 services96 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

70 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340098

Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340130

Location600 Hospital DrMonroe, NC 28112 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

76.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.56

Promoting Interoperability

Improvement Activities

Cost

44.56

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 Michelle Janania Martinez's NPI number?

The NPI number for Michelle Janania Martinez is 1164836318. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Michelle Janania Martinez located?

Michelle Janania Martinez practices at 15830 Ballantyne Medical Pl Ste 200, Charlotte, NC 28277. The listed phone number is (980) 442-9600.

What is Michelle Janania Martinez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Michelle Janania Martinez enrolled in Medicare?

Yes. Michelle Janania 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 organization bills Medicare for Michelle Janania Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Janania Martinez reassigns Medicare benefits to The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC). 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 Michelle Janania Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Janania Martinez accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 1 other insurer list Michelle Janania 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 Michelle Janania Martinez affiliated with any hospitals?

According to CMS data, Michelle Janania Martinez is affiliated with North Carolina Baptist Hospital, Atrium Health Pineville, Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Michelle Janania Martinez was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.