Individual provider Active NPI

King Pascual, MD

  • General Practice Physician
  • Baltimore, MD
National Provider Identifier
1033853270
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101280215 Issued in VA
Practice address
615 N Wolfe St
Baltimore, MD 21205-2103
Phone
(956) 739-8037
NPI assigned
Apr 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD500002422 DC
General Practice Physician 208D00000X 0101280215 VA Primary

Addresses

Primary practice location

615 N Wolfe St
Baltimore, MD 21205-2103

Mailing address

615 N Wolfe St
Baltimore, MD 21205-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240618002659 DC Practitioner - General Practice 7315480365 Reassigns benefits to 3 organizations
I20240715001012 VA Practitioner - General Practice 7315480365 Reassigns benefits to 2 organizations
I20240928000203 MD Practitioner - General Practice 7315480365 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care Maryland LLC General Practice CurrentSince Sep 28, 2024 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Jun 1, 2024 Accepting new patients
American Current Care PA CurrentSince Aug 4, 2025 Accepting new patients
American Current Care PA Current Accepting new patients
American Current Care P.a. CurrentSince Aug 4, 2025 Accepting new patients
Signify Health, LLC General Practice CurrentSince Apr 8, 2024 Accepting new patients
American Current Care, PA. CurrentSince Aug 4, 2025 Accepting new patients

Locations

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

4451 Parliament Pl
Ste G
Lanham, MD 20706
Phone (301) 459-9113

85 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 535-2300

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

4301 W Broad St
Richmond, VA 23230
Phone (804) 358-0361

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1033853270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052103",
            "telephone_number": "956-739-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "KING",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DC",
            "license": "MD500002422",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101280215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.