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KENNETH W MARTIN CRNA
NPI 1124256656
Nurse Anesthetist, Certified Registered in Newburgh, NY

Active since June 23, 2009PECOS EnrolledAccepts Medicare Assignment
70 DUBOIS STREET, MID-HUDSON ANESTHESIOLOGISTS, PC, NEWBURGH, NY 12550(845) 561-4400(308) 254-7258 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kenneth W Martin Crna NPPES

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

KENNETH W MARTIN CRNA (NPI 1124256656) is an individual nurse anesthetist, certified registered in Newburgh, New York, licensed in New York (70552) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1124256656
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKENNETH W MARTINCredential: CRNA
Location Address70 DUBOIS STREET, MID-HUDSON ANESTHESIOLOGISTS, PCNewburgh, NY 12550
Mailing Address2 Catharine Street, Mid-hudson Anesthesiologists, PcPoughkeepsie, NY 12601 · (845) 790-2661 · Fax (845) 790-2675
Phone(845) 561-4400
Fax(308) 254-7258
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 23, 2009
Last NPPES UpdateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
✔ NPI 1124256656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in NY · 70552✔ Licensed in VA · 0024168356✔ Licensed in NE · 101194
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
70 DUBOIS STREET, Newburgh, NY 12550
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth W Martin Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981756491
PECOS Enrollment IDI20201001000382, I20250922001232
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

8

Medicare enrollment records show Kenneth Martin reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jax Anesthesia Providers LLC
884 mi
Anesthesiology
4800 BELFORT RD
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 121 clinicians in this Medicare group
NPI 1245271154 (904) 483-5850
North Florida Surgery Center Inc
918 mi
Anesthesiology
256 SW PROFESSIONAL GLN
Lake City, FL 32025
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1659535367 (386) 758-8937
Lake City Outpatient Anesthesia PLLC
919 mi
Anesthesiology
4367 NW AMERICAN LN
Lake City, FL 32055
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1316171010 (386) 487-3930
Rizwana Thanawala MD PA
919 mi
Gastroenterology
4367 NW AMERICAN LN
Lake City, FL 32055
  • Reassigned Medicare billing, Florida enrollment
  • 29 clinicians in this Medicare group
NPI 1194945097 (386) 758-6094
Tenet Florida Physician Services LLC
1,075 mi
Surgery
1411 N FLAGLER DR STE 8000
West Palm Beach, FL 33401
  • Reassigned Medicare billing, Florida enrollment
  • 528 clinicians in this Medicare group
NPI 1659417467 (561) 650-6231
Anesthesia Dynamics LLC
1,080 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Colorado and Florida enrollments
  • 87 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642
Arapahoe Gastroenterology Anesthesia Associates LLC
1,628 mi
Nurse Anesthetist, Certified Registered
1001 SOUTHPARK DR
Littleton, CO 80120
  • Reassigned Medicare billing, Colorado enrollment
  • 84 clinicians in this Medicare group
NPI 1598115479 (888) 337-3509
St. Vincent General Hospital District
1,701 mi
Critical Access
816 W 4TH ST
Leadville, CO 80461
  • Reassigned Medicare billing, Colorado enrollment
  • 55 clinicians in this Medicare group
NPI 1457315152 (719) 486-0230

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
93 services93 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
78 services77 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
44 services42 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%429 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MR. KHALED WALEED ATIEH EREKAT M.D.
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Orange County (845) 561-4400
AMMARAH TARIQ M.D.
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Orange County (845) 654-6399
DOROTHY A WEISS CRNA
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Orange County (845) 561-4400
MR. SAAD FAROOQ M.D
Internal Medicine
70 DUBOIS STREET
NEWBURG, NY 12550
Orange County (845) 561-4400
MRS. JENNIFER LYNN MAHEDY CRNA
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST LUKES HOSPITAL
NEWBURGH, NY 12550
Orange County (845) 561-4400
OLUMIDE DAMILOLA AKINMOJU M.D
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET, MONTEFIORE ST. LUKE'S CORNWALL
NEWBURGH, NY 12550
Orange County (845) 561-4400
ONIDIA C WEINERT CRNA
Nurse Anesthetist, Certified Registered
70 DUBOIS STREET, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Orange County (845) 561-4400
OMAR ALA FAROOQ ALAJJURI M.B.B.S.
Student in an Organized Health Care Education/Training Program
70 DUBOIS STREET
NEWBURGH, NY 12550
Orange County (845) 561-4400

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 Kenneth Martin's NPI number?

The NPI number for Kenneth Martin is 1124256656. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Kenneth Martin located?

Kenneth Martin practices at 70 Dubois Street Mid-Hudson Anesthesiologists, PC, Newburgh, NY 12550. The listed phone number is (845) 561-4400.

What is Kenneth Martin's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kenneth Martin enrolled in Medicare?

Yes. Kenneth Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kenneth Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Martin reassigns Medicare benefits to 8 organizations: Jax Anesthesia Providers LLC (Jacksonville, FL), North Florida Surgery Center Inc (Lake City, FL), Lake City Outpatient Anesthesia PLLC (Lake City, FL), Rizwana Thanawala MD PA (Lake City, FL), Tenet Florida Physician Services LLC (West Palm Beach, FL) and 3 more organizations, listed in the Medicare section above. 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 Kenneth 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 Kenneth Martin was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.