Individual provider Active NPI

Anthony King

  • Cardiovascular Disease Physician
  • Kalamazoo, MI
National Provider Identifier
1194700104
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301061037 Issued in MI
Practice address
1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633
Phone
(269) 381-3963
Fax
(269) 381-2809
NPI assigned
Dec 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301061037 MI Primary

Addresses

Primary practice location

1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633

Mailing address

1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633
Phone (269) 381-3963

Other identifiers 1

IdentifierTypeStateIssuer
3190310MedicaidMI

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040219000026 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638081367 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Dowagiac Inc CurrentSince Nov 7, 2023 Accepting new patients
Beacon Dowagiac Inc CurrentSince Nov 7, 2023 Accepting new patients
Ascension Borgess Hospital Cardiovascular Disease CurrentSince Oct 23, 2003 Accepting new patients
Beacon Dowagiac Inc CurrentSince Nov 7, 2023 Accepting new patients
Promed Healthcare CurrentSince Jul 1, 2010 Accepting new patients
Beacon Medical Group Michigan Inc Cardiovascular Disease Current Accepting new patients
Beacon Kalamazoo Inc CurrentSince Oct 23, 2003 Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
Beacon Medical Group Michigan Inc Cardiovascular Disease CurrentSince Jul 1, 2010 Accepting new patients
Premier Medical Care P C Past Accepting new patients

Locations

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1535 Gull Rd
Ste 105
Kalamazoo, MI 49048
Phone (616) 381-1433

1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

215 E Mansion St
Ste 3B
Marshall, MI 49068
Phone (269) 343-1264

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Interoperability endpoints

  • Direct secure messaging: aking10585@direct.bronsonhg.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194700104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633",
            "telephone_number": "269-381-3963",
            "fax_number": "269-381-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633",
            "telephone_number": "269-381-3963",
            "fax_number": "269-381-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301061037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3190310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.