KELLY MARTIN M.D.
NPI 1174767065
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Active since April 23, 2009PECOS Enrolled
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 7C26, PHILADELPHIA, PA 19104(215) 590-7430 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Martin M.d. NPPES

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

KELLY MARTIN M.D. (NPI 1174767065) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT201919) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174767065
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameKELLY MARTINCredential: M.D.
Location Address34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 7C26Philadelphia, PA 19104
Mailing Address34th Street And Civic Center Boulevard, Suite 7c26Philadelphia, PA 19104 · (215) 590-7430
Sole ProprietorNo
Enumeration DateApril 23, 2009
Last NPPES UpdateJuly 10, 2012
NPI 1174767065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in PA · MT201919
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

34TH STREET AND CIVIC CENTER BOULEVARD, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Martin M.d. 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.

Nurse Anesthetist, Certified Registered
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics, Critical Care)
34TH STREET AND CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Anesthesiology (Pediatric Anesthesiology)
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Nurse Anesthetist, Certified Registered
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Emergency Medicine)
34TH STREET AND CIVIC CENTER BOULEVARD, CHILDREN'S HOSPITAL OF PHILADELPHIA, EMERG. DEPT.
PHILADELPHIA, PA 19104
Anesthesiology
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Anesthesiology (Pediatric Anesthesiology)
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
34TH STREET AND CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104

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 Kelly Martin's NPI number?

The NPI number for Kelly Martin is 1174767065. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Where is Kelly Martin located?

Kelly Martin practices at 34th Street And Civic Center Boulevard Suite 7c26, Philadelphia, PA 19104. The listed phone number is (215) 590-7430.

What is Kelly Martin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kelly Martin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Martin was last updated on July 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.