DR. CARLA M. MARTIN (MD) – Internal Medicine Physician, NPI 1376528794

DR. CARLA M. MARTIN (MD) is a healthcare provider. based in Pawtucket, Rhode Island. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD10551 (RI). The NPI Number for DR. CARLA M. MARTIN (MD) is 1376528794

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLA M. MARTIN (MD)
NPI
1376528794
Phone
(401) 729-0080
Address
39 EAST AVE
Enumeration Date
8 December 2005
Last Update Date
28 April 2021

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
4014440570
Graduation Year
1997 (29 years ago)
PAC ID
0648231175
Group Practice PAC ID
9335050962
Professional Enrollment ID
I20041019000818
Address ID
RI029051928PR355XXAVEX300

Contacts

Secure Messaging
carla.martin@providencechc.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,158 INTERNAL MEDICINE in RI

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Provider Addresses for DR. CARLA M. MARTIN (MD)

  • 39, East Avenue, Woodlawn, Pawtucket, Providence County, Rhode Island, 02860, United States

    PAWTUCKET, RI 028604003

    Phone: (401) 729-0080

    Type: Mailing

  • 407, East Avenue, Woodlawn, Pawtucket, Providence County, Rhode Island, 02860, United States

    SUITE 150

    PAWTUCKET, RI 028605299

    Phone: (401) 616-1642

    Fax: (401) 728-4437

    Type: Location

  • 407 East Ave

    Suite 150

    Pawtucket, RI 028605299

    Phone: (401) 616-1642

    Fax: (401) 728-4437

    Type: Location

  • 355 PRAIRIE AVE

    PROVIDENCE, RI 029051928

    Phone: (401) 444-0570

    Fax: (401) 444-0427

    Type: Location

  • 375 ALLENS AVE

    PROVIDENCE, RI 029055010

    Phone: (401) 780-2511

    Fax: (401) 780-2565

    Type: Mailing

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: 2004-10-19

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
I20041019000818IInternal MedicineRITBD

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 02860)

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Provider's Procedures

DR. CARLA M. MARTIN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINERI83036Hemoglobin A1C level7836

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: 9335050962View full group profile
NameSpecialtyState
Family PracticeMI
Allergy/Immunology, Pediatric MedicineRI
Nurse PractitionerRI
-MT
-RI
Family PracticeMA
-RI
O P T O M E T R YRI
Nurse PractitionerRI
Family PracticeOH

Reviews

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Frequently asked questions

Can I verify DR. CARLA M. MARTIN (MD) with an NPI only?
You can start verification with NPI 1376528794 for DR. CARLA M. MARTIN (MD), then check state licensing separately.
Can I rely on DR. CARLA M. MARTIN (MD) being an active provider?
As of the registry snapshot, DR. CARLA M. MARTIN (MD) is marked active.
What healthcare role does DR. CARLA M. MARTIN (MD) hold?
Scheduling teams often label DR. CARLA M. MARTIN (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CARLA M. MARTIN (MD)?
DR. CARLA M. MARTIN (MD)'s geographic hint is Pawtucket, Rhode Island in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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