Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDRIA MARTIN MD
NPI 1396491304
Pediatrics - Pediatric Critical Care Medicine in Salt Lake City, UT

Q: What is Alexandria Martin's NPI number?

The NPI number for Alexandria Martin is 1396491304. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Q: What is Alexandria Martin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Alexandria Martin was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 February 28, 2022PECOS Enrolled

30 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84108(801) 587-7572 Get Directions Write a Review

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

Record update history: Jul 29, 2026, Jun 20, 2025, Aug 7, 2023 and 1 more (4 updates tracked since 2022).

On this page

About Alexandria Martin Md NPPES

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

ALEXANDRIA MARTIN MD (NPI 1396491304) is an individual pediatric critical care medicine provider in Salt Lake City, Utah, licensed in Utah (14286740-1205) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1396491304

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameALEXANDRIA MARTINCredential: MD

Location Address30 N MARIO CAPECCHI DRSalt Lake City, UT 84108

Mailing Address30 N Mario Capecchi DrSalt Lake City, UT 84108 · (801) 587-7572

Phone(801) 587-7572

Sole ProprietorNo

Enumeration DateFebruary 28, 2022

Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1396491304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in UT · 14286740-1205

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 35967 (NE)

30 N MARIO CAPECCHI DR, Salt Lake City, UT 84108

Open in Google Maps ↗

Secondary Practice Location 1

Location 19040 Jackson AveTacoma, WA 98431-0001 · Phone (253) 968-3066

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandria Martin Md 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

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

NICHOLAS TADROS DO

Pediatrics (Pediatric Critical Care Medicine)

30 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84108

Salt Lake County (801) 587-7572

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 Alexandria Martin's NPI number?

The NPI number for Alexandria Martin is 1396491304. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Where is Alexandria Martin located?

Alexandria Martin practices at 30 N Mario Capecchi Dr, Salt Lake City, UT 84108. The listed phone number is (801) 587-7572.

What is Alexandria Martin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Alexandria Martin enrolled in Medicare?

Yes. Alexandria Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandria Martin was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.