ANDRES S MARTIN (MD) – Child & Adolescent Psychiatry Physician, NPI 1336120112

ANDRES S MARTIN (MD) is a healthcare provider. based in New haven, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 035407 (CT). The NPI Number for ANDRES S MARTIN (MD) is 1336120112

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
ANDRES S MARTIN (MD)
NPI
1336120112
Phone
(203) 785-2513
Address
230 S FRONTAGE RD
Enumeration Date
9 November 2005
Last Update Date
15 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037852140
Graduation Year
1990 (36 years ago)
PAC ID
3577740786
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20110615000287
Address ID
CT065191369NE800XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

851 PSYCHIATRY in CT

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Provider Addresses for ANDRES S MARTIN (MD)

  • Nielson and Irving Harris Building, 230, South Frontage Road, Downtown, New Haven, New Haven County, Connecticut, 06519, United States

    CHILD STUDY CENTER - WWW-1

    NEW HAVEN, CT 065191124

    Phone: (203) 785-2513

    Fax: (203) 785-4914

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-06-15

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
I20110615000287IPsychiatryCTTBD

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 06519)

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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: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

Can I use this page to confirm ANDRES S MARTIN (MD)'s NPI?
Yes. ANDRES S MARTIN (MD) is listed with NPI 1336120112 in the public NPI dataset.
Does CMS list ANDRES S MARTIN (MD) as active?
Yes — ANDRES S MARTIN (MD) is active in the NPI listing used on this page.
What is ANDRES S MARTIN (MD)'s primary classification?
Child & Adolescent Psychiatry Physician is the headline specialty for ANDRES S MARTIN (MD) here. Clinical services aligned with this taxonomy classification.
What area does ANDRES S MARTIN (MD) serve?
ANDRES S MARTIN (MD)'s listing highlights New Haven, Connecticut; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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Unknown Individual

Child & Adolescent Psychiatry Physician
Nielson and Irving Harris Building, 230, South Frontage Road, Downtown, New Haven, New Haven County, Connecticut, 06519, United States
NPI: 1356323364