Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Jordan Marthaller, MD

Individual provider Surgery Physician · NPI 1417243254

Kyle Jordan Marthaller, MD is a General Surgery in Boulder, Colorado. Graduated from University of North Dakota School of Medicine in 2011, 15 years ago. Practices with Boulder Community Health, a 253-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
15
Trained at
University of North Dakota School of Medicine
Licensed in
CO
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4743 Arapahoe Ave Ste 100
Boulder, CO 80303-1113
Phone: (303) 443-2123
Fax: (303) 443-9497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0056793 (CO)

Record details

NPI number1417243254
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2011
Last updated in NPPESNovember 9, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Boulder Community Health — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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