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

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: October 18, 2026.

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 and maintains a secondary practice location in Seattle.

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
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

Secondary Practice Location 1

Location 14800 Sand Point Way NE, Division of Urology W7729Seattle, WA 98105-3901 · Phone (206) 987-5893 · Fax (206) 987-3925

Other Identifiers 1

Medicaid8502460WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Martin Koyle reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2450 RIVERSIDE AVE, STE F140
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Dentist
701 25TH AVE S, SUITE 400
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: University Of Minnesota Physicians
  • 1,453 clinicians in this Medicare group
Clinic/Center
606 24TH AVE S, STE 602
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454

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 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.

Where is Martin Koyle located?

Martin Koyle practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-6000.

What is Martin Koyle's specialty?

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

Is Martin Koyle enrolled in Medicare?

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

Which organizations bill Medicare for Martin Koyle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Koyle reassigns Medicare benefits to 6 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN), University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN), Fairview Clinics (Minneapolis, MN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Koyle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martin Koyle accept?

Health plans from Sanford Health Plan list Martin Koyle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.