KATELYN MARTIN DO
NPI 1043075831
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since February 20, 2024PECOS Enrolled
1500 E. MEDICAL CENTER DRIVE, 1H 247 UH, ANN ARBOR, MI 48109(714) 390-5607 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katelyn Martin Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN MARTIN DO (NPI 1043075831) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (5151016569) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043075831
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATELYN MARTINCredential: DO
Location Address1500 E. MEDICAL CENTER DRIVE, 1H 247 UHAnn Arbor, MI 48109-5048
Mailing Address1500 E. Medical Center Drive, 1h 247 UhAnn Arbor, MI 48109-5048 · (714) 390-5607
Sole ProprietorNo
Enumeration DateFebruary 20, 2024
Last NPPES UpdateJune 20, 2024
NPPES CertifiedJune 20, 2024
NPI 1043075831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 5151016569
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E. MEDICAL CENTER DRIVE, Ann Arbor, MI 48109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katelyn Martin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency Medicine
1500 E. MEDICAL CENTER DRIVE, B1-380 TC
ANN ARBOR, MI 48109
Pediatrics (Pediatric Critical Care Medicine)
1500 E. MEDICAL CENTER DRIVE, F6790 UH SOUTH, SPC 5243
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DRIVE, CARDIOVASCULAR MEDICINE
ANN ARBOR, MI 48109
Dentist (Oral and Maxillofacial Surgery)
1500 E. MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Dentist (General Practice)
1500 E. MEDICAL CENTER DRIVE, MEDINN CLINIC C213,SPC 5831
ANN ARBOR, MI 48109
Surgery
1500 E. MEDICAL CENTER DRIVE, TAUBMAN CENTER, 2ND FLOOR, RECEPTION F
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Emergency Medicine
1500 E. MEDICAL CENTER DRIVE, B1-380 TC
ANN ARBOR, MI 48109

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 Katelyn Martin's NPI number?

The NPI number for Katelyn Martin is 1043075831. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Katelyn Martin located?

Katelyn Martin practices at 1500 E. Medical Center Drive 1H 247 Uh, Ann Arbor, MI 48109. The listed phone number is (714) 390-5607.

What is Katelyn Martin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katelyn Martin enrolled in Medicare?

Yes. Katelyn Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katelyn Martin was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.