KENDRA H MARTIN (M.D.) – Dermatology Physician, NPI 1700054103

KENDRA H MARTIN (M.D.) is a healthcare provider. based in Arlington, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 234693 (MA). The NPI Number for KENDRA H MARTIN (M.D.) is 1700054103

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA H MARTIN (M.D.)
NPI
1700054103
Phone
(781) 643-0500
Address
22 MILL ST
Enumeration Date
19 February 2008
Last Update Date
31 March 2009

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7816430500
Graduation Year
2004 (22 years ago)
PAC ID
4981776812
Group Practice PAC ID
7517027709
Professional Enrollment ID
I20080709000273
Address ID
MA024764744AR22XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

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Provider Addresses for KENDRA H MARTIN (M.D.)

  • Dental Associates of Arlington, 22, Mill Street, Alta Brigham Square, Arlington, Middlesex County, Massachusetts, 02476, United States

    SUITE #310

    ARLINGTON, MA 024764784

    Phone: (781) 643-0500

    Mailing address matches the actual address.

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: 2008-07-09

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
I20080709000273IDermatologyMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes289224$0
17003Destruction of precancer skin growth, 2-14 growths16046$0
17000Destruction of precancer skin growth, 1 growth10481$0
11102Biopsy of related skin growth, first growth8273$0
99214Established patient office or other outpatient visit, 30-39 minutes6854$0
View full utilization report →

Insurance plans in this area (ZIP 02476)

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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: 7517027709View full group profile
NameSpecialtyState
Nurse PractitionerMA
D E R M A T O L O G YMA

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Frequently asked questions

What unique ID ties claims to KENDRA H MARTIN (M.D.)?
NPI 1700054103 is assigned to KENDRA H MARTIN (M.D.) under the national enumeration system.
Is KENDRA H MARTIN (M.D.) currently active in the NPI registry?
CMS-published data lists KENDRA H MARTIN (M.D.) as an active registrant.
What kind of provider is KENDRA H MARTIN (M.D.)?
The page reflects Dermatology Physician for KENDRA H MARTIN (M.D.). Clinical services aligned with this taxonomy classification.
Where is KENDRA H MARTIN (M.D.)'s primary listing?
We display Arlington, Massachusetts because that is what the record indicates for KENDRA H MARTIN (M.D.).
Is KENDRA H MARTIN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1700054103. Always confirm identity and privileges with the practice and licensing boards.

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