Individual provider Active NPI

Katarzyna Kania-Martinez, MD

  • Plastic and Reconstructive Surgery Physician
  • Springdale, AR
National Provider Identifier
1194187765
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
E-16039 Issued in AR
Practice address
3901 Parkway Cir
Springdale, AR 72762-6362
Phone
(479) 322-4244
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X E-16039 AR
Plastic and Reconstructive Surgery Physician 2086S0122X E-16039 AR Primary

Addresses

Primary practice location

3901 Parkway Cir
Springdale, AR 72762-6362

Mailing address

308 SW Autumn Hills Rd
Bentonville, AR 72712-7103
Phone (317) 418-9919

Other practice location 1

4500 S Dixieland Rd Ste 102
Rogers, AR 72758-3068
Phone (479) 322-4244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807003464 AR Practitioner - Plastic and Reconstructive Surgery 2466836291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-16039ARMDPlastic and Reconstructive Surgery Physician

Interoperability endpoints

  • Direct secure messaging: kkania23176@washingtonregional.direct-ci.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1194187765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SW AUTUMN HILLS RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127103",
            "telephone_number": "317-418-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PARKWAY CIR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626362",
            "telephone_number": "479-322-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 S Dixieland Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727583068",
            "country_code": "US",
            "telephone_number": "479-322-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANIA-MARTINEZ",
        "first_name": "KATARZYNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AR",
            "license": "E-16039",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AR",
            "license": "E-16039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.