Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KENDRA KELLY MARTINEZ MD, IBCLC
NPI 1225525017
Pediatrics in Minneapolis, MN

Q: What is Kendra Martinez's NPI number?

The NPI number for Kendra Martinez is 1225525017. It was assigned to this individual provider in the NPPES registry on April 17, 2018. The provider is also known as Kendra Marie Kelly.

Q: What is Kendra Martinez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Martinez was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.

Active since April 17, 2018PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 626-0644 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2024, Apr 27, 2022, Apr 17, 2018 (3 updates tracked since 2018).

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About Dr. Kendra Kelly Martinez Md, Ibclc NPPES

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

DR. KENDRA KELLY MARTINEZ MD, IBCLC (NPI 1225525017) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (69028) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225525017

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KENDRA KELLY MARTINEZCredential: MD, IBCLC

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside Ave, Academic Office Building, Ao-401Minneapolis, MN 55454 · (612) 626-0644

Phone(612) 626-0644

Sole ProprietorNo

Enumeration DateApril 17, 2018

Last NPPES UpdateJune 27, 20263 updates tracked since enumeration

NPPES CertifiedJune 27, 2026

✔ NPI 1225525017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MN · 69028✔ Licensed in TX · U2261

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Other Names 1

Former Name (1)Kendra Marie Kelly

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kendra Kelly Martinez Md, Ibclc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner