Individual provider Active NPI

Kyle Patterson Martin, M.D.

  • Obstetrics & Gynecology Physician
  • Germantown, TN
National Provider Identifier
1851308258
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD37130 Issued in TN
Practice address
7205 Wolf River Blvd
Suite 150
Germantown, TN 38138-1758
Phone
(901) 752-4500
Fax
(901) 260-5606
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD37130 TN Primary

Addresses

Primary practice location

7205 Wolf River Blvd
Suite 150
Germantown, TN 38138-1758

Mailing address

PO Box 1798
Dept 95
Memphis, TN 38101-1798
Phone (901) 752-4500

Other identifiers 3

IdentifierTypeStateIssuer
4107689OtherTNBCBS
8474019OtherCIGNA
7211798OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050726000218 TN Practitioner - Obstetrics/Gynecology 0244267813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin Lee and Page OBGYN, PLCGroup PAC ID 4587633698, 3 clinicians

Practice addresses (Care Compare)

6286 Briarcrest Ave
Suite 308
Memphis, TN 38120-4023
Phone (901) 752-4500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Lee & Page OBGYN, PLC Obstetrics & Gynecology CurrentSince Aug 1, 2005 Accepting new patients
Martin Lee & Page OBGYN, PLC Obstetrics & Gynecology Past Accepting new patients

Locations

7205 Wolf River Blvd
Ste 150
Germantown, TN 38138
Phone (901) 752-4000

6286 Briarcrest Ave
Ste 308
Memphis, TN 38120
Phone (901) 680-5190

Interoperability endpoints

  • Direct secure messaging: kmartin28664@mlh.direct-ci.com

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 4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1851308258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1798",
            "address_2": "DEPT 95",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381011798",
            "telephone_number": "901-752-4500",
            "fax_number": "901-260-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 WOLF RIVER BLVD",
            "address_2": "SUITE 150",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381758",
            "telephone_number": "901-752-4500",
            "fax_number": "901-260-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KYLE",
        "middle_name": "PATTERSON",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD37130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4107689",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8474019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7211798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.