KALANI AMARI MARTIN PA
NPI 1730933169
Physician Assistant in Lakeland, FL

Q: What is Kalani Martin's NPI number?

The NPI number for Kalani Martin is 1730933169. It was assigned to this individual provider in the NPPES registry on April 12, 2024.

Q: What is Kalani Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kalani Martin was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 12, 2024PECOS EnrolledAccepts Medicare Assignment

1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1100 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2024, Apr 12, 2024 (2 updates tracked since 2024).

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About Kalani Amari Martin Pa NPPES

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

KALANI AMARI MARTIN PA (NPI 1730933169) is an individual physician assistant in Lakeland, Florida, licensed in Florida (PA9118743) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730933169

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKALANI AMARI MARTINCredential: PA

Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543

Mailing Address14059 Riveredge Dr Unit 6305Tampa, FL 33637-1047 · (904) 214-6224

Phone(863) 687-1100

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 12, 2024

Last NPPES UpdateJune 24, 20242 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1730933169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9118743

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

1324 LAKELAND HILLS BLVD, Lakeland, FL 33805

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Secondary Practice Locations 2

Location 114059 Riveredge Dr Unit 6305Tampa, FL 33637-1047 · Phone (904) 214-6224

Location 23030 Harden BlvdLakeland, FL 33803-7952 · Phone (863) 687-1100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Kalani Amari Martin Pa 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 ID3779924527

PECOS Enrollment IDI20240511000133

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.

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100157

Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

CHRISTIAN ABREU-RAMIREZ MD

Internal Medicine (Pulmonary Disease)