Martha Ksepka, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD471052 Issued in PA

Practice address

1304 Fawcett Ave Ste 100
Tacoma, WA 98402

Phone

(253) 761-4200

Fax

(253) 761-4201

NPI assigned

Mar 21, 2012

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Diagnostic Radiology

Education

State University of New York Downstate Medical Center, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Imaging of Lehigh Valley PCGroup PAC ID 1557265212, 115 clinicians

Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
• Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
• Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
• St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
• St Luke's Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 57)

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.

• Medical Imaging of Lehigh Valley PC

  • Diagnostic Radiology Physician
  • Allentown, PA
  • NPI 1134178023
  Medicare reassignment Care Compare group NPD
• Lehigh Valley Physician Group

  dba LVPG Developmental Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Allentown, PA
  • NPI 1780155689
  Medicare reassignment Care Compare group
• Lehigh Valley Physician Group

  dba LVPG Family and Internal Medicine - East Stroudsburg

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1245093368
  NPD
• Lehigh Valley Physician Group

  dba LVPG Internal Medicine - Northampton

  • Internal Medicine Physician
  • Northampton, PA
  • NPI 1255166328
  NPD
• Lehigh Valley Physician Group

  • Transplant Surgery Physician
  • Allentown, PA
  • NPI 1457309650
  NPD
• Lehigh Valley Hospital

  • Psychiatric Hospital Unit
  • Bethlehem, PA
  • NPI 1609834001
  NPD (past)
• Scranton Hospitalist Physician Services LLC

  • Diagnostic Radiology Physician
  • Scranton, PA
  • NPI 1023317849
  NPD (past)

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

• Lehigh Valley Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1164400131
  Care Compare affiliation
• Lehigh Valley Hospital

  • Clinic/Center
  • Allentown, PA
  • NPI 1194673467

  Hospital

  Care Compare affiliation
• Lehigh Valley Hospital

  • Clinic/Center
  • Allentown, PA
  • NPI 1528627155

  Hospital

  Care Compare affiliation
• Lehigh Valley Hospital

  • Psychiatric Hospital Unit
  • Bethlehem, PA
  • NPI 1609834001
  Care Compare affiliation
• Lehigh Valley Hospital

  • Children's Hospital
  • Allentown, PA
  • NPI 1952954307
  Care Compare affiliation
• Lehigh Valley Hospital - Schuylkill

  dba Lehigh Valley Hospital Schuylkill S Jackson Street

  • Rural Acute Care Hospital
  • Pottsville, PA
  • NPI 1235138405
  Care Compare affiliation
• Lehigh Valley Hospital Pocono

  • General Acute Care Hospital
  • East Stroudsburg, PA
  • NPI 1568459436
  Care Compare affiliation
• Schuylkill Medical Center - East Norweigan Street

  • General Acute Care Hospital
  • Pottsville, PA
  • NPI 1427050376
  Care Compare affiliation
• St Luke's Hospital

  dba St. Luke's Hospital-Sacred Heart Campus

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1366011413
  Care Compare affiliation
• St Luke's Hospital

  dba St. Luke's Hospital - Anderson Campus

  • General Acute Care Hospital
  • Easton, PA
  • NPI 1376339226
  Care Compare affiliation
• St Luke's Hospital

  dba St. Luke's Hospital-Lehighton Campus

  • General Acute Care Hospital
  • Lehighton, PA
  • NPI 1528737988
  Care Compare affiliation
• St Lukes Hospital

  • General Acute Care Hospital
  • Bethlehem, PA
  • NPI 1013933175
  Care Compare affiliation

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1467727537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O BWR INNOVATIONS 3471 S. UNIVERSITY DRIVE",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-552-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 FAWCETT AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98402",
            "telephone_number": "253-761-4200",
            "fax_number": "253-761-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4525 S 19th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051106",
            "country_code": "US",
            "telephone_number": "253-759-2622",
            "fax_number": "253-572-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 15th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723754",
            "country_code": "US",
            "telephone_number": "253-841-4353",
            "fax_number": "253-583-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2502 S Union Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051328",
            "country_code": "US",
            "telephone_number": "253-761-9482",
            "fax_number": "253-759-6252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KSEPKA",
        "first_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2022-10-24",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60855833",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD471052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-UAOM",
            "identifier": "0393577",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-CMBC",
            "identifier": "0393581",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-DINW",
            "identifier": "0393578",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-TRA REST OF WA",
            "identifier": "0393502",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103308",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-TRA KING COUNTY",
            "identifier": "0393575",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chase Tyler Krumins, PA-C
• Sol Kryder
• Jonathan P Kryman, MD
• Samantha Jade Krysiak, RDN
• Justin Krzmarzick
• Lisa Ku, D.D.S.
• Stephen C Ku, DO
• Martin A Kubeja, MD
• Hannah Kubicek, BA
• Stephen Peter Kubiszewski, LMHC, MAC, CEAP

• Diagnostic Radiology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.

Verify at the official NPI Registry.