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DR. ANA LAURA MARTINEZ-TAPIA MD
NPI 1225565864
Internal Medicine - Gastroenterology in Southampton, NY

Active since May 14, 2017PECOS EnrolledAccepts Medicare Assignment
325 MEETING HOUSE LANE, BLDG 2 SUITE 405, SOUTHAMPTON, NY 11968(631) 283-5555(631) 830-6845 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2024, Jun 28, 2024, May 14, 2017 (3 updates tracked since 2017).

About Dr. Ana Laura Martinez-tapia Md NPPES

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

DR. ANA LAURA MARTINEZ-TAPIA MD (NPI 1225565864) is an individual gastroenterology provider in Southampton, New York, licensed in New York (324412) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225565864
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ANA LAURA MARTINEZ-TAPIACredential: MD
Location Address325 MEETING HOUSE LANE, BLDG 2 SUITE 405Southampton, NY 11968
Mailing Address4 Springville Rd Ste BHampton Bays, NY 11946-2290 · (631) 283-5555 · Fax (631) 830-6845
Phone(631) 283-5555
Fax(631) 830-6845
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 14, 2017
Last NPPES UpdateAugust 29, 20243 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1225565864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 324412
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
325 MEETING HOUSE LANE, Southampton, NY 11968
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1518 Montauk Hwy Ste 102Amagansett, NY 11930-2110 · Phone (631) 267-5373 · Fax (631) 267-5376
Location 2PO Box 1554Stony Brook, NY 11790-0988 · Phone (631) 444-9152

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ana Laura Martinez-tapia Md 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 ID3678833415
PECOS Enrollment IDI20240521001819
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.

Areas of Expertise CMS Part B claims 9

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
59 services59 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.
57 services42 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services33 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
37 services37 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.
29 services29 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11968 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 6

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

DR. AMY ELIZABETH DALTON DO
Internal Medicine (Nephrology)
325 MEETING HOUSE LANE, BLDG. 2 SUITE 301
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-4048
KATHRYN ALLISON SAXBY
Internal Medicine
325 MEETING HOUSE LANE, SUITE 403 BLDG 2
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-2100
DANIELLE HAYDEN AU.D., CCC-A
Audiologist
325 MEETING HOUSE LANE, BLDG 1, STE B
SOUTHAMPTON, NY 11968
Suffolk County (631) 287-9226
ERIC SIN M.D.
Internal Medicine (Infectious Disease)
325 MEETING HOUSE LANE, BLDG 2 SUITE 302
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-8008
GAURAV BHARDWAJ MD
Internal Medicine (Gastroenterology)
325 MEETING HOUSE LANE, BLDG 2 SUITE 405
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-5555
DR. LOUIS RONALD SPIEGEL M.D.
Internal Medicine (Nephrology)
325 MEETING HOUSE LANE, BUILDING 2 - SUITE 301
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-4048

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 Ana Martinez-tapia's NPI number?

The NPI number for Ana Martinez-tapia is 1225565864. It was assigned to this individual provider in the NPPES registry on May 14, 2017.

Where is Ana Martinez-tapia located?

Ana Martinez-tapia practices at 325 Meeting House Lane Bldg 2 Suite 405, Southampton, NY 11968. The listed phone number is (631) 283-5555.

What is Ana Martinez-tapia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ana Martinez-tapia enrolled in Medicare?

Yes. Ana Martinez-tapia 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.

What insurance does Ana Martinez-tapia accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Ana Martinez-tapia 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 Ana Martinez-tapia affiliated with any hospitals?

According to CMS data, Ana Martinez-tapia is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Ana Martinez-tapia was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.