KATHRYN MARTIN
NPI 1104297506
Surgery - Pediatric Surgery in Hawthorne, NY

Active since October 12, 2015PECOS Enrolled
19 BRADHURST AVE STE 3050N, HAWTHORNE, NY 10532(914) 775-5437 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathryn Martin NPPES

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

KATHRYN MARTIN (NPI 1104297506) is an individual pediatric surgery provider in Hawthorne, New York, licensed in New York (313770) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104297506
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameKATHRYN MARTIN
Location Address19 BRADHURST AVE STE 3050NHawthorne, NY 10532-2180
Mailing Address19 Bradhurst Ave Ste 3100nHawthorne, NY 10532-2140 · (914) 909-9018 · Fax (914) 909-9028
Sole ProprietorNo
Enumeration DateOctober 12, 2015
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1104297506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in NY · 313770✔ Licensed in PA · MD455706
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
19 BRADHURST AVE STE 3050N, Hawthorne, NY 10532

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Martin 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathryn Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
Pediatrics
35 HOPE DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Pediatric Surgery)
19 BRADHURST AVE STE 3050N
HAWTHORNE, NY 10532

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 Kathryn Martin's NPI number?

The NPI number for Kathryn Martin is 1104297506. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Kathryn Martin located?

Kathryn Martin practices at 19 Bradhurst Ave Ste 3050N, Hawthorne, NY 10532. The listed phone number is (914) 775-5437.

What is Kathryn Martin's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Kathryn Martin enrolled in Medicare?

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

Which organizations bill Medicare for Kathryn Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Martin reassigns Medicare benefits to 2 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY) and The Milton S Hershey Medical Center Physicians Group (Hershey, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn Martin was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.