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KEVIN L MARTIN PA-C
NPI 1205067220
Physician Assistant - Surgical in Hartford, CT

Active since August 07, 2009PECOS EnrolledAccepts Medicare Assignment
114 WOODLAND ST, DEPARTMENT OF SURGERY, HARTFORD, CT 06105(860) 714-6581(860) 714-8311 Get Directions Write a Review

NPPES record last updated: August 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin L Martin Pa-c NPPES

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

KEVIN L MARTIN PA-C (NPI 1205067220) is an individual surgical provider in Hartford, Connecticut, licensed in Connecticut (002579) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2009).

NPPES Registry Identity

NPI1205067220
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKEVIN L MARTINCredential: PA-C
Location Address114 WOODLAND ST, DEPARTMENT OF SURGERYHartford, CT 06105-1208
Mailing Address7 Stonegate DrWethersfield, CT 06109-3653 · (860) 714-6581
Phone(860) 714-6581
Fax(860) 714-8311
Sole ProprietorNo
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2009
Enumeration DateAugust 7, 2009
Last NPPES UpdateAugust 31, 2011
✔ NPI 1205067220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in CT · 002579✔ Licensed in MA · PA4019
114 WOODLAND ST, Hartford, CT 06105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin L Martin Pa-c 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 ID8022157189
PECOS Enrollment IDI20110909002369
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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
82 services28 patients

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.

GAGANDEEP SINGH MD
Hospitalist
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-7446
MRS. BROOKE M P CHAVES APRN
Nurse Practitioner (Family)
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4680
JOCELYN CALABRO APRN
Nurse Practitioner (Adult Health)
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4000
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
Clinic/Center (Dental)
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4995
PHILLIP DENNEN MD
Anesthesiology
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-6654
FRANK J SETTER MD
Anesthesiology
114 WOODLAND ST
HARTFORD, CT 06105
Capitol Planning Region (860) 714-6654
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
HARTFORD, CT 06105
Capitol Planning Region (860) 714-1325
CATHERINE ANN CHAKAR-IYENGAR CRNA
Nurse Anesthetist, Certified Registered
114 WOODLAND ST, WOODLAND ANESTHESIOLOGY ASSOCIATES PC
HARTFORD, CT 06105
Capitol Planning Region (860) 614-6654

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 Kevin Martin's NPI number?

The NPI number for Kevin Martin is 1205067220. It was assigned to this individual provider in the NPPES registry on August 7, 2009.

Where is Kevin Martin located?

Kevin Martin practices at 114 Woodland St Department Of Surgery, Hartford, CT 06105. The listed phone number is (860) 714-6581.

What is Kevin Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kevin Martin enrolled in Medicare?

Yes. Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Martin was last updated on August 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.