MARTIN A. KOYLE MD
NPI 1467546796
Urology - Pediatric Urology in Minneapolis, MN

Q: What is Martin Koyle's NPI number?

The NPI number for Martin Koyle is 1467546796. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Martin Koyle's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Martin Koyle was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 03, 2006PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6000 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Martin A. Koyle Md NPPES

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

MARTIN A. KOYLE MD (NPI 1467546796) is an individual pediatric urology provider in Minneapolis, Minnesota, licensed in Washington (MD00048989) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467546796

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameMARTIN A. KOYLECredential: MD

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address4800 Sand Point Way Ne, Division Of Urology W7729Seattle, WA 98105-3901 · (206) 987-5893 · Fax (206) 987-3925

Phone(612) 672-6000

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateNovember 10, 2021

NPPES CertifiedNovember 10, 2021

✔ NPI 1467546796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in WA · MD00048989

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Other Identifiers 1

Medicaid8502460WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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)

Martin A. Koyle Md 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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner