Active NPI
Austin Blake King, MD
- Pulmonary Disease Physician
- Jefferson City, MO
National Provider Identifier
1073049656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2025022819
- Practice address
- 2505 Mission Dr
Jefferson City, MO 65109-9508 - Phone
- (573) 681-3000
- NPI assigned
- May 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2025022819 | MO | Primary |
Addresses
Primary practice location
2505 Mission Dr
Jefferson City, MO 65109-9508
Mailing address
2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Louisville School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2505 Mission Dr
Suite 130
Jefferson City, MO 65109-9508
Phone (573) 681-3585
Hospital & facility affiliations
- SSM Health St. Mary'S Hospital - Jefferson City
- University of Missouri Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025022819 | MO | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Regional Health Services | Current | Accepting new patients | |
| SSM Regional Health Services | Pulmonary Disease | Current | Accepting new patients |
| SSM Regional Health Services | Current | Accepting new patients | |
| SSM Regional Health Services | Past | Accepting new patients | |
| SSM Regional Health Services | Past | Accepting new patients |
Locations
7655 Solutions Ctr
Chicago, IL 60677
Interoperability endpoints
- aking554399@direct-ehr-ssmhc.com
Organizations & group practices 5
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.
-
- Clinic/Center
- Jefferson City, MO
- NPI 1649217837
-
- Community/Retail Pharmacy
- Jefferson City, MO
- NPI 1922119726
-
- Pulmonary Disease Physician
- Jefferson City, MO
- NPI 1982137667
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jefferson City, MO
- NPI 1053368159
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1518065523
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1518065523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751587200000",
"number": "1073049656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 MISSION DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651099508",
"telephone_number": "573-681-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 MISSION DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651099508",
"telephone_number": "573-681-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "AUSTIN",
"middle_name": "BLAKE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-02",
"last_updated": "2025-07-04",
"certification_date": "2025-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "2025022819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.