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MARIA PAULA MARTINEZ CANTARIN MD
NPI 1972711299
Internal Medicine - Nephrology in Philadelphia, PA

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
833 CHESTNUT ST, SUITE 700, PHILADELPHIA, PA 19107(215) 955-3000 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maria Paula Martinez Cantarin Md NPPES

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

MARIA PAULA MARTINEZ CANTARIN MD (NPI 1972711299) is an individual nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD435921) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Bala Cynwyd.

NPPES Registry Identity

NPI1972711299
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMARIA PAULA MARTINEZ CANTARINCredential: MD
Location Address833 CHESTNUT ST, SUITE 700Philadelphia, PA 19107-4414
Mailing Address833 Chestnut St, Suite 700Philadelphia, PA 19107-4414 · (215) 503-3000
Phone(215) 955-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 18, 2007
Last NPPES UpdateJune 26, 2019
✔ NPI 1972711299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD435921
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT 184971 (PA)
833 CHESTNUT ST, Philadelphia, PA 19107
Open in Google Maps ↗

Secondary Practice Location 1

Location 1225 E City Line Ave Ste 109Bala Cynwyd, PA 19004-1724 · Phone (610) 664-2535 · Fax (610) 664-0827

Other Identifiers 2

Medicaid0309265NJ
Medicaid102723589PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Maria Paula Martinez Cantarin Md 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 ID2365607876
PECOS Enrollment IDI20120709000426
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 6

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.
146 services93 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
134 services53 patients
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.
94 services73 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers12 claims24 services$6.13 avg. paid by Medicare
Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers29 claims1,140 services$2.70 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
5 suppliers132 claims62,700 services$0.93 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
34 suppliers447 claims75,406 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers155 claims30,450 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
26 suppliers520 claims90,656 services$0.18 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 20

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

DR. JOHN W. CARUSO M.D.
Internal Medicine
833 CHESTNUT ST, SUITE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
MARY E BADURA M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (800) 326-7002
MS. ETHEL MARIE CLAIRE JOLICOEUR M.SC., M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (215) 873-2083
VINCENZO BERGHELLA MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
833 CHESTNUT ST, 1ST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
DR. VICTOR A. DIAZ JR. M.D.
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6539
DR. MARC J. ALTSHULER M.D.
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7190
DONA CHEN M.D.
Pediatrics
833 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (302) 651-4200
MS. CHRISTINA SUZANNE GIATROPOULOS M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (215) 351-2331

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 Maria Martinez Cantarin's NPI number?

The NPI number for Maria Martinez Cantarin is 1972711299. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Maria Martinez Cantarin located?

Maria Martinez Cantarin practices at 833 Chestnut St Suite 700, Philadelphia, PA 19107. The listed phone number is (215) 955-3000.

What is Maria Martinez Cantarin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Maria Martinez Cantarin enrolled in Medicare?

Yes. Maria Martinez Cantarin 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 Maria Martinez Cantarin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Maria Martinez Cantarin 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 Maria Martinez Cantarin affiliated with any hospitals?

According to CMS data, Maria Martinez Cantarin is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Maria Martinez Cantarin was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.