DR. KEVIN TIM MARBLE (MD) – Emergency Medicine Physician, NPI 1891733127

DR. KEVIN TIM MARBLE (MD) is a healthcare provider. based in Duluth, Minnesota. specializing in EMERGENCY MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 28563 (KY). The NPI Number for DR. KEVIN TIM MARBLE (MD) is 1891733127

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN TIM MARBLE (MD)
NPI
1891733127
Phone
(218) 249-5555
Address
915 E 1ST ST
Enumeration Date
2 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2186433000
Graduation Year
1988 (38 years ago)
PAC ID
0547256828
Group Practice PAC ID
8123937992
Professional Enrollment ID
I20060918000089
Address ID
MN565201025BR2400XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,172 EMERGENCY MEDICINE in MN

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Provider Addresses for DR. KEVIN TIM MARBLE (MD)

  • Saint Lukes Hospital, 915, East 1st Street, Duluth, Saint Louis County, Minnesota, 55805, United States

    DULUTH, MN 558052107

    Phone: (218) 249-5555

    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: 2006-09-18

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
I20060918000089IEmergency MedicineMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55805)

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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: 8123937992View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
Family PracticeND
Nurse PractitionerND
H O S P I T A L I S TIL
-ND
-ND
Nurse PractitionerMN
Family Practice, Emergency MedicineID
Nurse PractitionerND
General SurgeryWI

Reviews

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Frequently asked questions

Does DR. KEVIN TIM MARBLE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KEVIN TIM MARBLE (MD) uses 1891733127.
Can I rely on DR. KEVIN TIM MARBLE (MD) being an active provider?
As of the registry snapshot, DR. KEVIN TIM MARBLE (MD) is marked active.
What taxonomy line describes DR. KEVIN TIM MARBLE (MD)?
For research purposes, treat DR. KEVIN TIM MARBLE (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. KEVIN TIM MARBLE (MD) list a practice location?
Patients near Duluth, Minnesota may find DR. KEVIN TIM MARBLE (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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