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AMARILIS ANDREA MARTIN M.D.
NPI 1861811192
Pediatrics - Pediatric Critical Care Medicine in Stony Brook, NY

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS ROAD, STONY BROOK, NY 11794(631) 444-0650 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 30, 2022, Mar 19, 2020, Jul 18, 2017 (3 updates tracked since 2017).

About Amarilis Andrea Martin M.d. NPPES

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

AMARILIS ANDREA MARTIN M.D. (NPI 1861811192) is an individual pediatric critical care medicine provider in Stony Brook, New York, licensed in Michigan (4301105936) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2014).

NPPES Registry Identity

NPI1861811192
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameAMARILIS ANDREA MARTINCredential: M.D.
Location Address101 NICOLLS ROADStony Brook, NY 11794-9452
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650
Phone(631) 444-0650
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateNovember 30, 20223 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1861811192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in MI · 4301105936
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.
101 NICOLLS ROAD, Stony Brook, NY 11794
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Other Names 1

Former Name (1)Amarilis Andrea Cornejo

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

Amarilis Andrea Martin 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 ID4789986878
PECOS Enrollment IDI20221206002675
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.

MUZAMMIL KHAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
101 NICOLLS ROAD, HSC T16-020
STONY BROOK, NY 11794
Suffolk County (631) 444-8478
JUSTIN ALEXANDER BELL MD
Anesthesiology
101 NICOLLS ROAD, DEPARTMENT OF ANESTHESIOLOGY, HSC LEVEL 4, ROOM 060
STONY BROOK, NY 11794
Suffolk County (631) 444-2975
PHILLIP YEUN
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCE CENTER T16, ROOM 020
STONY BROOK, NY 11794
Suffolk County (631) 444-7411
PRIYANKA RAMACHANDRA MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
DR. GABRIELLA NICOLE PINHO M.D.
Obstetrics & Gynecology
101 NICOLLS ROAD, HSC 9, ROOM 020
MOUNT SINDAI, NY 11794
Suffolk County (631) 444-3987
DR. BAHAA E DAOUD MD
Anesthesiology
101 NICOLLS ROAD, HSC LEVEL 4 ROOM 60
STONY BROOK, NY 11794
Suffolk County (631) 444-2078
DR. ALLISON PERNICE MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
DR. DAWEI WU DO
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCES CENTER LEVEL 4, ROOM 176
STONY BROOK, NY 11794
Suffolk County (631) 638-8517

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 Amarilis Martin's NPI number?

The NPI number for Amarilis Martin is 1861811192. It was assigned to this individual provider in the NPPES registry on April 15, 2014. The provider is also known as Amarilis Andrea Cornejo.

Where is Amarilis Martin located?

Amarilis Martin practices at 101 Nicolls Road, Stony Brook, NY 11794. The listed phone number is (631) 444-0650.

What is Amarilis Martin's specialty?

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

Is Amarilis Martin enrolled in Medicare?

Yes. Amarilis Martin 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.

When was this NPI record last updated?

The NPPES record for Amarilis Martin was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.