RAFAEL MARTINEZ M.D.
NPI 1578990438
General Practice in Kissimmee, FL

Q: What is Rafael Martinez's NPI number?

The NPI number for Rafael Martinez is 1578990438. It was assigned to this individual provider in the NPPES registry on October 8, 2013.

Q: What is Rafael Martinez'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 Rafael Martinez was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 08, 2013PECOS EnrolledAccepts Medicare Assignment

904B CYPRESS PKWY, KISSIMMEE, FL 34759(407) 543-0237(407) 483-1405 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2022, Mar 5, 2019, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

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About Rafael Martinez M.d. NPPES

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

RAFAEL MARTINEZ M.D. (NPI 1578990438) is an individual general practice provider in Kissimmee, Florida, licensed in Florida (ANC889) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1578990438

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameRAFAEL MARTINEZCredential: M.D.

Location Address904B CYPRESS PKWYKissimmee, FL 34759-3456

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (844) 630-0700 · Fax (877) 374-1924

Phone(407) 543-0237

Fax(407) 483-1405

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateOctober 8, 2013

Last NPPES UpdateFebruary 27, 20266 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2026

✔ NPI 1578990438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ANC889

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

904B CYPRESS PKWY, Kissimmee, FL 34759

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Other Identifiers 1

Medicaid021849000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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

Rafael Martinez M.d. 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 ID7113216656

PECOS Enrollment IDI20190204000527

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 Reassignment

Medicare enrollment records show Rafael Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centerwell Senior Primary Care (fl) Inc.

Same address

Internal Medicine

904B CYPRESS PKWY
Kissimmee, FL 34759

Reassigned Medicare billing, Florida enrollment
123 clinicians in this Medicare group

NPI 1922039254 (407) 483-1400

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

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

61 services28 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

23 services16 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.

16 services13 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Referred Medical Equipment & Supplies CMS DME claims 7

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier12 claims480 services$3.14 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$4.68 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$5.71 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

1 supplier12 claims360 services$2.49 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier12 claims2,400 services$0.22 avg. paid by Medicare

Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims1,200 services$0.04 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 7

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

DR. FRANCIN JEAN BAPTISTE MD

General Practice