MARTIN ALLA
NPI 1386263267
General Practice in Orange Park, FL

Q: What is Martin Alla's NPI number?

The NPI number for Martin Alla is 1386263267. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Q: What is Martin Alla's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Martin Alla was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 10, 2020PECOS Enrolled

2001 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 639-2000(904) 639-2015 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2022, Apr 29, 2022, Apr 10, 2020 (3 updates tracked since 2020).

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About Martin Alla NPPES

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

MARTIN ALLA (NPI 1386263267) is an individual general practice provider in Orange Park, Florida, licensed in Florida (OS18774) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386263267

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMARTIN ALLA

Location Address2001 KINGSLEY AVEOrange Park, FL 32073-5156

Mailing Address2001 Kingsley AveOrange Park, FL 32073-5156 · Fax (904) 639-2015

Phone(904) 639-2000

Fax(904) 639-2015

Sole ProprietorNo

Enumeration DateApril 10, 2020

Last NPPES UpdateMay 11, 20223 updates tracked since enumeration

NPPES CertifiedMay 11, 2022

✔ NPI 1386263267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · OS18774

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License OS18774 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2001 KINGSLEY AVE, Orange Park, FL 32073

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martin Alla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. FORREST KING M.D.

Emergency Medicine