DR. KELLY ANN MARTINEZ (MD) – Obstetrics & Gynecology Physician, NPI 1063616639

DR. KELLY ANN MARTINEZ (MD) is a healthcare provider. based in San marcos, California. specializing in OBSTETRICS/GYNECOLOGY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A119682 (CA). The NPI Number for DR. KELLY ANN MARTINEZ (MD) is 1063616639

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY ANN MARTINEZ (MD)
NPI
1063616639
Phone
(760) 736-6700
Address
150 VALPREDA RD
Enumeration Date
14 June 2007
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8586264123
Graduation Year
1997 (29 years ago)
PAC ID
6103086186
Group Practice PAC ID
9436314762
Professional Enrollment ID
I20120328000962
Address ID
CA920371205LA9888XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for DR. KELLY ANN MARTINEZ (MD)

  • 150, Valpreda Road, San Marcos, San Diego County, California, 92096, United States

    SAN MARCOS, CA 920692973

    Phone: (760) 736-6700

    Fax: (760) 736-8740

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: ViiV Healthcare Company ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ViiV Healthcare Company$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120328000962IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92069)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436314762View full group profile
NameSpecialtyState
Internal MedicineCA
E N D O C R I N O L O G YCA
Nurse PractitionerCA
Physical Medicine And RehabilitationOR
Interventional Radiology, Diagnostic RadiologyTX
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pulmonary Disease, Sleep MedicineCA
Pulmonary DiseaseCA
-CA
-NV
Physician AssistantCA

Reviews

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Frequently asked questions

What is the standard ID for DR. KELLY ANN MARTINEZ (MD) in the U.S.?
In the U.S., DR. KELLY ANN MARTINEZ (MD) is identified by NPI 1063616639.
Is DR. KELLY ANN MARTINEZ (MD)'s NPI status active today?
Active status means DR. KELLY ANN MARTINEZ (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. KELLY ANN MARTINEZ (MD) provide?
DR. KELLY ANN MARTINEZ (MD)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KELLY ANN MARTINEZ (MD)?
DR. KELLY ANN MARTINEZ (MD) is associated with San Marcos, California in the same public data insurers reference.
Who maintains DR. KELLY ANN MARTINEZ (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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