Individual provider Active NPI

Matthew King, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hermitage, TN
National Provider Identifier
1093209918
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
887 Issued in TN
Practice address
5651 Frist Blvd Ste 200
Hermitage, TN 37076-2056
Phone
(615) 885-0200
Fax
(615) 885-0267
NPI assigned
Jun 15, 2018
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 737 NC
Foot & Ankle Surgery Podiatrist 213ES0103X 887 TN Primary

Addresses

Primary practice location

5651 Frist Blvd Ste 200
Hermitage, TN 37076-2056

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

121 Bear Xing Ste 300
MT Juliet, TN 37122-4306
Phone (615) 885-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210827000714 NC Practitioner - Podiatry 1355691767
I20211027002311 TN Practitioner - Podiatry 1355691767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue44
Removal of skin lesions1-10
Removal of nail tissue56
Removal or shaving of skin growth16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
737NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince May 1, 2024 Accepting new patients
Ankle and Foot Centers of Nashville, PLLC CurrentSince Jul 23, 2021 Accepting new patients
Ankle and Foot Centers of Nashville, PLLC CurrentSince Jul 23, 2021 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince May 1, 2024 Accepting new patients

Locations

3701 Algonquin Rd
Ste 470
Rolling Meadows, IL 60008

127 Crestview Park Dr
Ste 207
Dickson, TN 37055
Phone (615) 814-0885

1909 Mallory Ln
Ste 100
Franklin, TN 37067
Phone (615) 684-4770

1909 Mallory Ln
Ste 201
Franklin, TN 37067
Phone (615) 814-0885

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

5651 Frist Blvd
Ste 200
Hermitage, TN 37076
Phone (615) 885-0200

501 E Church St
Lewisburg, TN 37091
Phone (615) 814-0885

121 Bear Xing
Ste 300
Mt Juliet, TN 37122
Phone (615) 885-0200

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: matthew.king@ahp.eclinicaldirectplus.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1093209918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 200",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762056",
            "telephone_number": "615-885-0200",
            "fax_number": "615-885-0267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Bear Xing Ste 300",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371224306",
            "country_code": "US",
            "telephone_number": "615-885-0200",
            "fax_number": "615-885-0267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "MATTHEW",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "737",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.