Individual provider Active NPI

Kurt R Martin, M.D.

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1639174121
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01053938A Issued in IN
Practice address
1550 E County Line Rd
Ste 200
Indianapolis, IN 46227-0990
Phone
(317) 497-6497
Fax
(317) 497-6400
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01053938A IN Primary

Addresses

Primary practice location

1550 E County Line Rd
Ste 200
Indianapolis, IN 46227-0990

Mailing address

1550 E County Line Rd
Ste 200
Indianapolis, IN 46227-0990
Phone (317) 497-6497

Other identifiers 1

IdentifierTypeStateIssuer
200493980MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040615001475 IN Practitioner - Orthopedic Surgery 9537143714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwood Orthopedics PCGroup PAC ID 8022092378, 8 clinicians

Practice addresses (Care Compare)

1550 E County Line Rd
Suite 200
Indianapolis, IN 46227-0990
Phone (317) 497-6497

Hospital & facility affiliations

  • Select Home Health Services, Inc Home health agency, Carmel, IN, CCN 157635
  • Elite Home Rehab and Healthcare Corp Home health agency, Carmel, IN, CCN 157692
  • Community Hospital South, Inc. Hospital, Indianapolis, IN, CCN 150128

Merit-based Incentive Payment System (MIPS)

Final score
29.26 of 100Reported as individual
Quality
10.85
Improvement activities
0
Cost
83.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement40
Lower limb (leg) arthroscopy (minimally invasive joint repair)19
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01053938AINMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Orthopedics PC Orthopaedic Surgery CurrentSince Aug 9, 2004 Accepting new patients
Greenwood Orthopedics PC Orthopaedic Surgery CurrentSince Aug 9, 2004 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1550 E County Line Rd
Ste 200
Indianapolis, IN 46227
Phone (317) 497-2130

Interoperability endpoints

  • Direct secure messaging: kmartin30687@ecommunitydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1639174121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E COUNTY LINE RD",
            "address_2": "STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270990",
            "telephone_number": "317-497-6497",
            "fax_number": "317-497-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E COUNTY LINE RD",
            "address_2": "STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270990",
            "telephone_number": "317-497-6497",
            "fax_number": "317-497-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KURT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01053938A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200493980",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.