NPIMap

Individual provider Active NPI

Kenneth Andrew Martin, MD

  • Orthopaedic Surgery Physician
  • Little Rock, AR
National Provider Identifier
1699730689
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C5425 Issued in AR
Practice address
5320 W. Markham
Little Rock, AR 72205
Phone
(501) 975-5633
Fax
(501) 227-0710
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X C5425 AR
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X C5425 AR
Orthopaedic Surgery Physician 207X00000X C5425 AR Primary

Addresses

Primary practice location

5320 W. Markham
Little Rock, AR 72205

Mailing address

5320 W. Markham
Little Rock, AR 72205
Phone (501) 975-5633

Other identifiers 1

IdentifierTypeStateIssuer
105268001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address refer@martin.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070630000031 AR Practitioner - Orthopedic Surgery 2961306410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians
Martin Knee and Sports Medicine Center, PAGroup PAC ID 5991853285, 9 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

5320 W Markham St
Little Rock, AR 72205-3528
Phone (501) 975-5633

Hospital & facility affiliations

  • Baptist Health Home Health-LR Home health agency, Little Rock, AR, CCN 047090
  • Arkansas Surgical Hospital Hospital, No Little Rock, AR, CCN 040147
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
  • Baptist Health Medical Center-Arkadelphia Hospital, Arkadelphia, AR, CCN 041321
  • Ashley County Medical Center Hospital, Crossett, AR, CCN 041323
  • Baptist Health Rehabilitation Institute Inpatient rehabilitation facility, Little Rock, AR, CCN 043026

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement275
Lower limb (leg) arthroscopy (minimally invasive joint repair)78
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5425ARMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Knee and Sports Medicine Center, PA Orthopaedic Surgery CurrentSince Apr 1, 2009 Accepting new patients
Bowen Hefley Rhodes Stewart Orthopedics, PA Orthopaedic Surgery Current Accepting new patients
Martin Knee and Sports Medicine Center, PA Orthopaedic Surgery CurrentSince Apr 1, 2009 Accepting new patients
Physicians' Surgery Center of Fayetteville, LLC PastSince Mar 23, 2005 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1300 Braden St
Jacksonville, AR 72076
Phone (501) 985-5900

5320 W Markham St
Little Rock, AR 72205
Phone (501) 975-5633

Interoperability endpoints

  • Direct secure messaging: arkkam@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arkansas Surgical HospitalNorth Little Rock, AR, CCN 040147 Hospital 5% Or Greater Indirect Ownership Interest (5.51%) Jan 22, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 12

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1699730689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 W. MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-975-5633",
            "fax_number": "501-227-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W. MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-975-5633",
            "fax_number": "501-227-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KENNETH",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AR",
            "license": "C5425",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AR",
            "license": "C5425",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "C5425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105268001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "refer@martin.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5320 W. Markham",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.