Individual provider Active NPI

Kevin Lee Martin, DO

  • Family Medicine Physician
  • Warrensburg, MO
National Provider Identifier
1740922327
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023027654 Issued in MO
Practice address
513 Burkarth Rd
Warrensburg, MO 64093-3103
Phone
(660) 747-7751
Fax
(660) 747-8398
NPI assigned
Apr 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2023027654 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

513 Burkarth Rd
Warrensburg, MO 64093-3103

Mailing address

513 Burkarth Rd
Warrensburg, MO 64093-3103
Phone (660) 747-7751

Other practice location 1

1200 W 22nd St
Higginsville, MO 64037-1420
Phone (660) 262-7751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250820004609 MO Practitioner - Family Practice 4183124563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Missouri Medical CenterGroup PAC ID 4183904865, 9 clinicians

Practice addresses (Care Compare)

1200 W 22ND St
Higginsville, MO 64037-1420
Phone (660) 584-7751

403 Burkarth Rd
Warrensburg, MO 64093-3101

513 Burkarth Rd
Warrensburg, MO 64093-3103
Phone (660) 747-7751

Hospital & facility affiliations

  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097
  • Lafayette Regional Health Center Hospital, Lexington, MO, CCN 261320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023027654MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Western Missouri Medical Center Family Medicine Past Accepting new patients

Locations

1200 W 22nd St
Higginsville, MO 64037
Phone (660) 262-7751

513 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 747-7751

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Organizations & group practices 2

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 2

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1740922327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933103",
            "telephone_number": "660-747-7751",
            "fax_number": "660-747-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933103",
            "telephone_number": "660-747-7751",
            "fax_number": "660-747-8398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W 22nd St",
            "address_purpose": "LOCATION",
            "city": "Higginsville",
            "state": "MO",
            "postal_code": "640371420",
            "country_code": "US",
            "telephone_number": "660-262-7751",
            "fax_number": "660-584-6149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023027654",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.