MS. KARLA GABRIELA CARIAS MARTINEZ MD
NPI 1265886386
Internal Medicine in Baltimore, MD

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment
1830 E MONUMENT ST STE 416, BALTIMORE, MD 21287(410) 502-7070(410) 367-2258 Get Directions Write a Review

NPPES record last updated: July 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2023, Jul 5, 2020, Mar 24, 2017 (3 updates tracked since 2017).

About Ms. Karla Gabriela Carias Martinez Md NPPES

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

MS. KARLA GABRIELA CARIAS MARTINEZ MD (NPI 1265886386) is an individual internal medicine provider in Baltimore, Maryland, licensed in Florida (ME141335) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1265886386
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. KARLA GABRIELA CARIAS MARTINEZCredential: MD
Location Address1830 E MONUMENT ST STE 416Baltimore, MD 21287-0020
Mailing Address777 S Eden St Apt 821Baltimore, MD 21231-2840 · (305) 495-8418
Fax(410) 367-2258
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 14, 2016
Last NPPES UpdateJuly 5, 20203 updates tracked since enumeration
NPPES CertifiedJuly 5, 2020
NPI 1265886386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME141335
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1830 E MONUMENT ST STE 416, Baltimore, MD 21287

Secondary Practice Location 1

Location 11830 E Monument St Ste 416Baltimore, MD 21287-0020 · Phone (410) 502-7070 · Fax (410) 367-2258

Accepted 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

Ms. Karla Gabriela Carias Martinez 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 ID4486064078
PECOS Enrollment IDI20230630003215
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
176 services64 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.
124 services65 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
120 services21 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.
115 services47 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.
85 services52 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
48 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320022
Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County
Emergency services Birthing friendly

Lovelace Westside Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipProprietary
CMS Certification Number320074
Location10501 Golf Course Road NWAlbuquerque, NM 87114 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers18 claims2,580 services$0.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Nephrology)
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Internal Medicine (Nephrology)
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Internal Medicine (Nephrology)
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Internal Medicine (Nephrology)
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Internal Medicine (Nephrology)
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287

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 Karla Carias Martinez's NPI number?

The NPI number for Karla Carias Martinez is 1265886386. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Karla Carias Martinez located?

Karla Carias Martinez practices at 1830 E Monument St Ste 416, Baltimore, MD 21287. The listed phone number is (410) 502-7070.

What is Karla Carias Martinez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karla Carias Martinez enrolled in Medicare?

Yes. Karla Carias 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.

What insurance does Karla Carias Martinez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Karla Carias 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 Karla Carias Martinez affiliated with any hospitals?

According to CMS data, Karla Carias Martinez is affiliated with Lovelace Medical Center, Presbyterian Hospital, Plains Regional Medical Center and Lovelace Westside Hospital.

When was this NPI record last updated?

The NPPES record for Karla Carias Martinez was last updated on July 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.