Active NPI
Kurt Martinson, MD
- Surgery Physician
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- TEMP 102328
- Practice address
- 1200 6TH Ave No
Centra Care Clinic
St Cloud, MN 56303 - Phone
- (320) 252-5131
- Fax
- (320) 240-2118
- NPI assigned
- May 13, 2006
- Last updated
- Nov 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | TEMP 102328 | MN | Primary |
Addresses
Primary practice location
1200 6TH Ave No
Centra Care Clinic
St Cloud, MN 56303
Mailing address
1200 6TH Ave No
Centra Care Clinic
St Cloud, MN 56303
Phone (320) 252-5131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 462901910 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centracare Health System-NR LLCLakewood Health System
Practice addresses (Care Compare)
1013 Hart Blvd
Monticello, MN 55362-8575
Phone (763) 295-2945
110 2ND St S
Suite 104
Waite Park, MN 56387-1367
Phone (320) 259-9375
1200 6TH Ave N
Saint Cloud, MN 56303-2735
1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131
1406 6TH Ave N
St Cloud, MN 56303-1901
1406 6TH Ave No
St Cloud, MN 56303-1901
1900 Centracare Cir
Suite 2400
Saint Cloud, MN 56303-5000
Phone (320) 252-2422
49725 County
Staples, MN 56479-5280
Phone (218) 894-1515
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMP 102328 | MN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Centracare Health System - Long Prairie | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients | |
| Centracare Health System - Melrose | Current | Accepting new patients | |
| Centracare Health System - Melrose | Current | Accepting new patients | |
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131
525 Main St W
Melrose, MN 56352
Phone (320) 256-4228
1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221
49725 County 83
Staples, MN 56479
Phone (218) 894-1033
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
Interoperability endpoints
- kmartinson1664@direct.centracare.com
- kmartinson623306@direct.ochin.org
Organizations & group practices 25
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CentraCare - River Campus Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1043212665
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1174106264
-
- Critical Access Hospital
- Long Prairie, MN
- NPI 1164471678
-
dba CentraCare Health - Melrose Hospital
- Critical Access Hospital
- Melrose, MN
- NPI 1720045073
-
dba CentraCare Health - Sauk Centre Clinic
- Rural Health Clinic/Center
- Sauk Centre, MN
- NPI 1578813762
-
- Critical Access Hospital
- Sauk Centre, MN
- NPI 1740553932
-
dba CentraCare Health - Monticello Hospital
- Critical Access Hospital
- Monticello, MN
- NPI 1275872772
-
dba CentraCare - Monticello Specialty Clinic
- Multi-Specialty Clinic/Center
- Monticello, MN
- NPI 1558600874
-
dba CentraCare Health - Paynesville Hospital
- Critical Access Hospital
- Paynesville, MN
- NPI 1205269941
-
dba CentraCare Health - Paynesville Clinic
- Rural Health Clinic/Center
- Paynesville, MN
- NPI 1629402516
-
- Critical Access Hospital
- Staples, MN
- NPI 1295726362
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CentraCare Health - Monticello Hospital
- Critical Access Hospital
- Monticello, MN
- NPI 1275872772
-
dba CentraCare - Monticello Specialty Clinic
- Multi-Specialty Clinic/Center
- Monticello, MN
- NPI 1558600874
Hospital
-
- Critical Access Hospital
- Staples, MN
- NPI 1295726362
-
dba CentraCare St Cloud Hospital Adolescent Addiction Services
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
dba St Cloud Hospital Behavioral Health - Sartell
- Mental Health Counselor
- Sartell, MN
- NPI 1083161814
Hospital
-
dba Recovery Plus Adult Program-St Cloud Hospital
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1467615294
-
dba CentraCare Wound Center
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1841502929
-
dba Extended Contract Inpt Psych Services
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1245281302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 6TH AVE NO",
"address_2": "CENTRA CARE CLINIC",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-252-5131",
"fax_number": "320-240-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 6TH AVE NO",
"address_2": "CENTRA CARE CLINIC",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-252-5131",
"fax_number": "320-240-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINSON",
"first_name": "KURT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "TEMP 102328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "462901910",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.