DR. KENNETH J MARTIN DPM NPI 1285626804

NPI Information

  • NPI: 1285626804
  • Provider Name: DR. KENNETH J MARTIN, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7331 BRENTWOOD RD
    PHILADELPHIA, PA
    ZIP 19151
  • Phone: (215) 877-2555

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NPI Details

DR. Kenneth J Martin, DPM is a podiatrist in Philadelphia, PA with 40 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Kenneth J Martin, DPM NPI is 1285626804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1985

The provider's business location address is:

7331 BRENTWOOD RD
PHILADELPHIA, PA
ZIP 19151
Phone: (215) 877-2555
Fax: (215) 877-0240

The NPI 1285626804 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)

The enumeration date for this NPI number is 8/19/2005 and was last updated on 1/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristSC002881LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1480016407MEDICARE PINPENNSYLVANIA
2T45542MEDICARE UPINPENNSYLVANIA
3175404OTHERPENNSYLVANIABC BS OF PA
431875OTHERPENNSYLVANIAKEYSTONE MERCY HEALTH PLA
50010465050004MEDICAIDPENNSYLVANIA
60060738000OTHERPENNSYLVANIAIBC
70104650501OTHERPENNSYLVANIAAMERICHOICE OF PA
811940OTHERPENNSYLVANIAHEALTH PARTNERS PA
9MA175404MEDICARE PINPENNSYLVANIA
101480OTHERPENNSYLVANIABRAVO ELDERHEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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