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MARTHA KIENZLE M.D.
NPI 1407261878
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1858(215) 590-1415 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2023, Aug 19, 2020 (2 updates tracked since 2020).

About Martha Kienzle M.d. NPPES

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

MARTHA KIENZLE M.D. (NPI 1407261878) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD462451) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in King Of Prussia, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2014).

NPPES Registry Identity

NPI1407261878
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMARTHA KIENZLECredential: M.D.
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Ste 9329Philadelphia, PA 19104-4319 · (267) 425-9300 · Fax (267) 425-9331
Phone(215) 590-1858
Fax(215) 590-1415
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2014
Enumeration DateJune 24, 2014
Last NPPES UpdateMay 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1407261878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in PA · MD462451
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.

Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License MD462451 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Secondary Practice Location 1

Location 1550 S Goddard BlvdKing Of Prussia, PA 19406-2922 · Phone (610) 337-3232 · Fax (610) 337-0325

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

Martha Kienzle M.d. 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 ID840615175
PECOS Enrollment IDI20200804002324
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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Martha Kienzle's NPI number?

The NPI number for Martha Kienzle is 1407261878. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Martha Kienzle located?

Martha Kienzle practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1858.

What is Martha Kienzle's specialty?

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

Is Martha Kienzle enrolled in Medicare?

Yes. Martha Kienzle 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 Martha Kienzle was last updated on May 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.