Individual provider Active NPI

Kurt Martinson, MD

  • Surgery Physician
  • Saint Cloud, MN
National Provider Identifier
1245281302
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
TEMP 102328 Issued in MN
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
462901910MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060605000148 MN Practitioner - General Surgery 8820066889 Reassigns benefits to 15 organizations

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 LLCGroup PAC ID 3870739410, shared by 4 NPIs, 63 clinicians
St Cloud HospitalGroup PAC ID 4880594779, 215 clinicians
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians
Lakewood Health SystemGroup PAC ID 1052229671, shared by 15 NPIs, 107 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TEMP 102328MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health System-NR LLC CurrentSince Sep 1, 2019 Accepting new patients
Centracare Clinic Current Accepting new patients
St. Cloud Hospital Current Accepting new patients
Centracare Health System - Long Prairie CurrentSince Jul 1, 2018 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Aug 1, 2022 Accepting new patients
Centracare Health-Paynesville LLC CurrentSince Jan 20, 2018 Accepting new patients
Centracare Health System-NR LLC CurrentSince Sep 1, 2019 Accepting new patients
Lakewood Health System Current Accepting new patients
Centracare Clinic CurrentSince Jul 15, 2006 Accepting new patients
Lakewood Health System CurrentSince May 8, 2023 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Jan 20, 2018 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 CurrentSince Jan 20, 2018 Accepting new patients
Centracare Health System - Melrose CurrentSince Jan 20, 2018 Accepting new patients
Centracare Health System - Melrose CurrentSince Jan 20, 2018 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Jan 20, 2018 Accepting new patients
Lakewood Health System CurrentSince May 8, 2023 Accepting new patients
Centracare Clinic CurrentSince Jul 15, 2006 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Aug 1, 2022 Accepting new patients
St. Cloud Hospital CurrentSince Mar 18, 2020 Accepting new patients
St. Cloud Hospital CurrentSince Mar 18, 2020 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

  • Direct secure messaging: kmartinson1664@direct.centracare.com
  • Direct secure messaging: 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.

View all 25

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.