Kenneth Wade Martin, MD
NPI 1265471338ActiveIndividual· Radiology, Diagnostic Radiology· Philadelphia, PA
Radiology, Diagnostic Radiology (MD) with Stc Pediatrics LLC, practicing in Philadelphia, Pennsylvania. Enrolled in Medicare as practitioner - diagnostic radiology.
Overview
| NPI | 1265471338 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 5, 2006 |
| Last updated in NPPES | May 22, 2024 |
| Certified by provider | May 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | MD479412 | PA |
| Radiology, Radiation Oncology | 2085R0001X | MD479412 | PA |
| Radiology, Diagnostic Radiology | 2085R0202X | G59973 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (PA) |
|---|
Education and affiliations
| Graduation year | 1982 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical group
- Stc Pediatrics LLCPhiladelphia, PA · 69 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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