Individual provider Active NPI

Kyle R. Martin, M.D.

  • Emergency Medicine Physician
  • La Crosse, WI
National Provider Identifier
1386626844
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
47968 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Nov 18, 2005
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 47968 WI Primary

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 1

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

Other identifiers 1

IdentifierTypeStateIssuer
34663500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050822000040 WI Practitioner - Emergency Medicine 2961478854 Reassigns benefits to 12 organizations
I20251118002384 IA Practitioner - Emergency Medicine 2961478854 Reassigns benefits to 2 organizations
I20251215002295 MN Practitioner - Emergency Medicine 2961478854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1836 S Ave
La Crosse, WI 54601

1836 S Ave
La Crosse, WI 54601-5429

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

Merit-based Incentive Payment System (MIPS)

Final score
79.19 of 100Reported as group
Quality
74.01
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47968WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Memorial Hospital, Inc. CurrentSince Dec 2, 2025 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Upland Hills Health, Inc CurrentSince Jan 1, 2025 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Dec 2, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Nov 4, 2025 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Mar 1, 2017 Accepting new patients
Ladd Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
Upland Hills Health, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Dec 2, 2025 Accepting new patients
Madison Emergency Physicians, SC Emergency Medicine CurrentSince Jul 1, 2005 Accepting new patients
Upland Hills Health, Inc Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Prairie Ridge Health Inc. CurrentSince Nov 1, 2025 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc CurrentSince Dec 2, 2025 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Dec 2, 2025 Accepting new patients
Ladd Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Prairie Ridge Health, Inc. Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Nov 4, 2025 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Oct 30, 2025 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Prairie Ridge Health, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Dec 2, 2025 Accepting new patients

Locations

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

Bin 88276
Milwaukee, WI 53288

1809 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-8033

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

530 Wisconsin Dells Pkwy S
Wisconsin Dells, WI 53965
Phone (608) 253-8515

Interoperability endpoints

  • Direct secure messaging: kmartin1158351@direct.emplifyhealth.org
  • Direct secure messaging: kmartin261629@direct-ehr-ssmhc.com

Organizations & group practices 30

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 30

Hospital & facility affiliations 10

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1386626844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151830",
            "country_code": "US",
            "telephone_number": "608-251-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KYLE",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "47968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34663500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.