Individual provider Active NPI

Richard Christian King, D.P.M.

  • Podiatrist
  • Elizabeth City, NC
National Provider Identifier
1124025846
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
167 Issued in NC
Practice address
1121 N Road St
Suite B
Elizabeth City, NC 27909-3334
Phone
(252) 338-2111
Fax
(252) 338-2113
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 167 NC Primary

Addresses

Primary practice location

1121 N Road St
Suite B
Elizabeth City, NC 27909-3334

Mailing address

1121 N Road St
Suite B
Elizabeth City, NC 27909-3334
Phone (252) 338-2111

Other identifiers 4

IdentifierTypeStateIssuer
243092AOtherMEDICARE
08112OtherNCBCBS
7908112MedicaidNC
480003447OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080123000618 NC Practitioner - Podiatry 7012099567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King Podiatry and Associates PLLCGroup PAC ID 1254647837, 3 clinicians

Practice addresses (Care Compare)

1121 N Rd St
Suite B
Elizabeth City, NC 27909-3470
Phone (252) 338-2111

Merit-based Incentive Payment System (MIPS)

Final score
70.93 of 100Reported as individual
Quality
36.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue154
Removal of skin lesions1-10
Removal of nail tissue722
Removal or shaving of skin growth425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
167NCMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
King Podiatry and Associates PLLC CurrentSince Apr 17, 2015 Accepting new patients
King Podiatry and Associates PLLC Podiatrist CurrentSince Oct 12, 2015 Accepting new patients

Locations

1121 N Road St
Ste B
Elizabeth Cty, NC 27909
Phone (252) 338-2111

Organizations & group practices 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1124025846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N ROAD ST",
            "address_2": "SUITE B",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093334",
            "telephone_number": "252-338-2111",
            "fax_number": "252-338-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N ROAD ST",
            "address_2": "SUITE B",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093334",
            "telephone_number": "252-338-2111",
            "fax_number": "252-338-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RICHARD",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "243092A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08112",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908112",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480003447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.