TARA KAY MARTIN (MD) – Emergency Medicine Physician, NPI 1104054543

TARA KAY MARTIN (MD) is a healthcare provider. based in Chicago, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD60361936 (WA). The NPI Number for TARA KAY MARTIN (MD) is 1104054543

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
TARA KAY MARTIN (MD)
NPI
1104054543
Phone
(425) 656-4255
Address
25246 NETWORK PL
Enumeration Date
24 June 2009
Last Update Date
3 June 2013

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
4252283440
Graduation Year
2009 (17 years ago)
PAC ID
3072752658
Group Practice PAC ID
7911892054
Professional Enrollment ID
I20130611000348
Address ID
WA980555714RE400XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,209 EMERGENCY MEDICINE in WA

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Provider Addresses for TARA KAY MARTIN (MD)

  • 25246 NETWORK PL

    CHICAGO, IL 606731252

    Phone: (425) 656-4255

    Type: Mailing

  • Valley Medical Center, 400, South 43rd Street, Renton, King County, Washington, 98055, United States

    RENTON, WA 980555714

    Phone: (425) 228-3440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130611000348IEmergency MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making146139$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only9087$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6360$0
99284Emergency department visit with moderate level of medical decision making5352$0
99291Critical care, first 30-74 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 60673)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911892054View full group profile
NameSpecialtyState
Emergency MedicineWA
Emergency MedicineOH
Emergency MedicineCA
Emergency MedicineIN
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineMA
Emergency MedicineWA
Emergency MedicineWA

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Frequently asked questions

What NPI should I save for TARA KAY MARTIN (MD)?
Save NPI 1104054543 if you need a stable reference for TARA KAY MARTIN (MD).
Is TARA KAY MARTIN (MD) active in the national directory?
TARA KAY MARTIN (MD)'s public NPI profile is in an active state.
What does TARA KAY MARTIN (MD) treat or focus on?
Patients typically see TARA KAY MARTIN (MD) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for TARA KAY MARTIN (MD)?
The page summarizes Chicago, Illinois for TARA KAY MARTIN (MD); expand the address list for detail.
What if Chicago, Illinois seems incomplete?
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