JOSE JOAQUIN MARTE-SANTANA MD
NPI 1992007165
Internal Medicine in Dover, DE
About Jose Joaquin Marte-santana Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSE JOAQUIN MARTE-SANTANA MD (NPI 1992007165) is an individual internal medicine provider in Dover, Delaware, licensed in Virginia (0101252775) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Jose Joaquin Marte-santana 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.
Medicare Billing Reassignments
9Medicare enrollment records show Jose Marte-santana reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 166 clinicians in this Medicare group
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 84 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 460 clinicians in this Medicare group
Baltimore, MD 21237
- Reassigned Medicare billing, Delaware enrollment
- 4 clinicians in this Medicare group
Salisbury, MD 21804
- Reassigned Medicare billing, Delaware enrollment
- 4 clinicians in this Medicare group
East Patchogue, NY 11772
- Reassigned Medicare billing, New York enrollment
- 640 clinicians in this Medicare group
Auburn, NY 13021
- Reassigned Medicare billing, New York enrollment
- 277 clinicians in this Medicare group
Naperville, IL 60565
- Reassigned Medicare billing, Delaware enrollment
- 17 clinicians in this Medicare group
Gardendale, AL 35071
- Reassigned Medicare billing, Delaware enrollment
- 4 clinicians in this Medicare group
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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Jose Marte-santana's NPI number?
The NPI number for Jose Marte-santana is 1992007165. It was assigned to this individual provider in the NPPES registry on November 22, 2010.
Where is Jose Marte-santana located?
Jose Marte-santana practices at 640 S State St, Dover, DE 19901. The listed phone number is (302) 430-5175.
What is Jose Marte-santana's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jose Marte-santana enrolled in Medicare?
Yes. Jose Marte-santana 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.
Which organizations bill Medicare for Jose Marte-santana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Marte-santana reassigns Medicare benefits to 9 organizations: Apogee Medical Group, Delaware, Inc (Dover, DE), Bayhealth Medical Center, Inc. (Dover, DE), Christiana Care Health Services Inc (Newark, DE), Alignmed Medical Group, PC (Baltimore, MD), Genesis Eldercare Physician Services LLC (Salisbury, MD) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Marte-santana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jose Marte-santana accept?
Health plans from AmeriHealth Caritas Next list Jose Marte-santana 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.
When was this NPI record last updated?
The NPPES record for Jose Marte-santana was last updated on May 10, 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.
# Jose Joaquin Marte-Santana, MD · NPI 1992007165
Internal Medicine physician in Dover, Delaware. Individual provider, active in the CMS NPPES registry since November 22, 2010.
## Identity
- **NPI:** 1992007165 (Entity type: Individual)
- **Enumerated:** November 22, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101252775 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 640 S STATE ST, Dover, DE 19901-3530
- **Phone:** (302) 430-5175 · **Fax:** (302) 430-5060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Apogee Medical Group, Delaware, Inc (NPI 1326485285, Dover, DE); Bayhealth Medical Center, Inc. (NPI 1679072144, Dover, DE); Christiana Care Health Services Inc (NPI 1245474329, Newark, DE); Alignmed Medical Group, PC (NPI 1366289423, Baltimore, MD); Genesis Eldercare Physician Services LLC (NPI 1518901933, Salisbury, MD); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** May 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1992007165) · Data from the CMS NPPES public registry.