MARTIN BACK MD NPI 1962414342

NPI Information

  • NPI: 1962414342
  • Provider Name: MARTIN BACK, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12901 BRUCE B DOWNS BLVD
    TAMPA, FL
    ZIP 33612
  • Phone: (813) 259-0956

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NPI Details

Martin Back, MD is a vascular surgery surgery in Tampa, FL with 39 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Martin Back, MD NPI is 1962414342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12901 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33612-742
Phone: (813) 259-0956

The NPI 1962414342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 8/13/2006 and was last updated on 2/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryME71212FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
143628ZMEDICARE PINFLORIDA
2F34469MEDICARE UPINFLORIDA
3770001828MEDICARE PINFLORIDA
4254458000MEDICAIDFLORIDA
543628OTHERFLORIDABLUE CROSS BLUE SHIELD
643628YMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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