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

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: August 09, 2026.

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

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, is affiliated with Hca Florida Osceola Hospital, 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, and ordering and referring status from the CMS PECOS system.

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.

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

Hospital Affiliations CMS Care Compare

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

Hca Florida Osceola Hospital

Acute Care Hospitals · Kissimmee, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100110
Location700 West Oak StreetKissimmee, FL 34741 · Osceola County
Emergency services Birthing friendly

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 5

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

DR. FRANCIN JEAN BAPTISTE MD
General Practice
904B CYPRESS PKWY
KISSIMMEE, FL 34759
Osceola County (407) 543-0237
TERESA B BRAVO M.D.
Family Medicine
904B CYPRESS PKWY
KISSIMMEE, FL 34759
Osceola County (407) 543-0237
MR. CARLOS GUILLERMO MIRANDA M.D.
Internal Medicine
904B CYPRESS PKWY
KISSIMMEE, FL 34759
Osceola County (407) 483-1400
DR. LUIS J. VELAZQUEZ VICENTE M.D.
General Practice
904B CYPRESS PKWY
KISSIMMEE, FL 34759
Osceola County (407) 483-1400
CENTERWELL SENIOR PRIMARY CARE (FL) INC.
Internal Medicine
904B CYPRESS PKWY
KISSIMMEE, FL 34759
Osceola County (407) 483-1400

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 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.

Where is Rafael Martinez located?

Rafael Martinez practices at 904B Cypress Pkwy, Kissimmee, FL 34759. The listed phone number is (407) 543-0237.

What is Rafael Martinez's specialty?

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

Is Rafael Martinez enrolled in Medicare?

Yes. Rafael 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 Rafael Martinez accept?

Health plans from Molina Healthcare list Rafael 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 Rafael Martinez affiliated with any hospitals?

According to CMS data, Rafael Martinez is affiliated with Hca Florida Osceola Hospital.

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 5 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.