DR. CARLA M. MARTIN MD
NPI 1376528794
Internal Medicine in Providence, RI

Q: What is Carla Martin's NPI number?

The NPI number for Carla Martin is 1376528794. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Q: What is Carla Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carla Martin was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment

355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0570(401) 444-0427 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Carla M. Martin Md NPPES

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

DR. CARLA M. MARTIN MD (NPI 1376528794) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD10551) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pawtucket, and is a graduate of Rutgers New Jersey Medical School (1997).

NPPES Registry Identity

NPI1376528794

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. CARLA M. MARTINCredential: MD

Location Address355 PRAIRIE AVEProvidence, RI 02905-1928

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 780-2511 · Fax (401) 780-2565

Phone(401) 444-0570

Fax(401) 444-0427

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1997

Enumeration DateDecember 8, 2005

Last NPPES UpdateApril 28, 2021

NPPES CertifiedApril 28, 2021

✔ NPI 1376528794 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 RI · MD10551

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.

Also ListedPediatricsTaxonomy 208000000X · License MD10551 (RI)

355 PRAIRIE AVE, Providence, RI 02905

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Secondary Practice Location 1

Location 1407 East Ave, Suite 150Pawtucket, RI 02860-5299 · Phone (401) 616-1642 · Fax (401) 728-4437

Other Identifiers 1

MedicaidCM36051RI

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. Carla M. Martin 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 ID648231175

PECOS Enrollment IDI20041019000818

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

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

The Providence Community Health Centers, Inc

0.7 mi

Federally Qualified Health Center (FQHC)

375 ALLENS AVE
Providence, RI 02905

Reassigned Medicare billing, Rhode Island enrollment
112 clinicians in this Medicare group

NPI 1053313593 (401) 444-0400

Blackstone Valley Community Health Care, Inc.

5.2 mi

Federally Qualified Health Center (FQHC)

39 EAST AVE
Pawtucket, RI 02860

Reassigned Medicare billing, Rhode Island enrollment
75 clinicians in this Medicare group

NPI 1063574135 (401) 312-9892

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 20

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

SORAYA S. P. DARWOOD MD

Family Medicine