Individual provider Active NPI

Kevin Tim Marble, MD

  • Emergency Medicine Physician
  • Duluth, MN
National Provider Identifier
1891733127
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
28563 Issued in KY
Practice address
915 E 1St St
Duluth, MN 55805-2107
Phone
(218) 249-5555
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 28563 KY Primary

Addresses

Primary practice location

915 E 1St St
Duluth, MN 55805-2107

Mailing address

915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20060918000089 MN Practitioner - Emergency MedicinePractitioner - Hospitalist 0547256828 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Hospitalist
Education
University of South Alabama College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
International Falls Memorial Hospital Association 18 clinicians
St Francis Medical Center 16 clinicians

Practice addresses (Care Compare)

1400 Hwy 71
International Falls, MN 56649-2154
Phone (218) 283-4481

2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone (218) 643-3000

Hospital & facility affiliations

  • Rainy Lake Medical Center Hospital, International Falls, MN, CCN 241322
  • St Francis Medical Center Hospital, Breckenridge, MN, CCN 241377

Merit-based Incentive Payment System (MIPS)

Final score
92.39 of 100Reported as group
Quality
86.16
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
82.21
Promoting interoperability
83
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
1.88 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28563KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Community Medical Center Inc CurrentSince Nov 1, 2020 Accepting new patients
St. Francis Medical Center Current Accepting new patients
Perham Hospital District Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
CCM Health Current Accepting new patients
Perham Hospital District CurrentSince May 1, 2019 Accepting new patients
International Falls Memorial Hospital Association CurrentSince May 6, 2019 Accepting new patients
St. Francis Medical Center CurrentSince Apr 11, 2019 Accepting new patients
Mahnomen Health Center CurrentSince Jan 2, 2025 Accepting new patients
International Falls Memorial Hospital Association CurrentSince May 6, 2019 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Stevens Community Medical Center Inc CurrentSince Nov 1, 2020 Accepting new patients
Elizabethtown Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

3293 Solutions Ctr
Chicago, IL 60677

2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

414 W Jefferson Ave
Mahnomen, MN 56557
Phone (218) 935-2511

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

105 Otter Dr
Ottertail, MN 56571
Phone (218) 367-6111

1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200

Organizations & group practices 17

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.

View all 17

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891733127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052107",
            "telephone_number": "218-249-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052107",
            "telephone_number": "218-249-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBLE",
        "first_name": "KEVIN",
        "middle_name": "TIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "28563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.