Individual provider Active NPI

Rudolph Carlo King, MD

  • Hospitalist Physician
  • Paoli, IN
National Provider Identifier
1194797555
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
G197167 Issued in CA
Practice address
642 W Hospital Rd
Paoli, IN 47454-9672
Phone
(812) 723-7450
Fax
(812) 723-7508
NPI assigned
Feb 1, 2006
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2023-03475 NC
Obstetrics & Gynecology Physician 207V00000X MD70053523 WA
Obstetrics & Gynecology Physician 207V00000X 01091543A IN
Obstetrics & Gynecology Physician 207V00000X G197167 CA
Obstetrics & Gynecology Physician 207V00000X 8287 NV
Obstetrics & Gynecology Physician 207V00000X MD-56037 IA
Hospitalist Physician 208M00000X G197167 CA Primary
Hospitalist Physician 208M00000X MD70053523 WA

Addresses

Primary practice location

642 W Hospital Rd
Paoli, IN 47454-9672

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1111 6th Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

Other practice location 2

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 867-7830

Other practice location 3

3150 N Tenaya Way
# 360
Las Vagas, NV 89128
Phone (702) 932-2526

Other practice location 4

400 S 43rd St
Renton, WA 98055-5714
Phone (425) 690-1000

Other identifiers 3

IdentifierTypeStateIssuer
3102914MedicaidNV
2019914MedicaidNV
2361109MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rking@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, IN, NC, LA, WA, IA7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20150929000388 GA Practitioner - Obstetrics/Gynecology 4688820087 Reassigns benefits to 9 organizations
I20201222000126 FL Practitioner - Obstetrics/Gynecology 4688820087 Reassigns benefits to 3 organizations
I20240405003609 IN Practitioner - Obstetrics/Gynecology 4688820087 Reassigns benefits to 1 organization
I20240501000369 NC Practitioner - Obstetrics/Gynecology 4688820087 Reassigns benefits to 2 organizations
I20240525000227 LA Practitioner - Obstetrics/Gynecology 4688820087 Reassigns benefits to 1 organization
I20251113002901 WA Practitioner - HospitalistPractitioner - Obstetrics/Gynecology 4688820087 Reassigns benefits to 1 organization
I20260129000914 IA Practitioner - Obstetrics/Gynecology 4688820087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Georgia, P.C.Group PAC ID 9032383583, 34 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-7000

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-56037IAMDObstetrics & Gynecology Physician
8287NVMDObstetrics & Gynecology Physician
MD70053523WAMDObstetrics & Gynecology Physician
G197167CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Louisiana PC Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients
Southside Medical Center, Inc. CurrentSince Apr 1, 2016 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 15, 2025 Accepting new patients
The Emory Clinic Inc Hospitalist CurrentSince Oct 23, 2025 Accepting new patients
SGMC Physician Network Inc CurrentSince Dec 30, 2023 Accepting new patients
Indiana University Health Paoli Inc CurrentSince Mar 22, 2024 Accepting new patients
Mercy Clinics, Inc. Obstetrics & Gynecology CurrentSince Jan 23, 2026 Accepting new patients
Piedmont Providers LLC CurrentSince Mar 1, 2024 Accepting new patients
Griffin OBGYN Clinic PA Obstetrics & Gynecology CurrentSince Nov 15, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Valley Medical Group-Renton Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Indiana University Health Paoli Inc CurrentSince Mar 22, 2024 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Jan 29, 2025 Accepting new patients
Azalea Womens Center, PC CurrentSince Jul 1, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Aug 21, 2015 Accepting new patients
Southern OB GYN Associates P C Obstetrics & Gynecology CurrentSince Aug 3, 2021 Accepting new patients
Nikia L. Phillips, LLC CurrentSince Apr 8, 2021 Accepting new patients
Southside Medical Center, Inc CurrentSince Apr 1, 2016 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Outer Banks Professional Services, LLC Obstetrics & Gynecology CurrentSince Nov 8, 2024 Accepting new patients
Questcare Obstetrics PLLC Obstetrics & Gynecology Past Accepting new patients
Wellstar Spalding Regional Hospital, Inc Past Accepting new patients

Locations (25 of 31)

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1397 Medical Park Blvd
Ste 140
Wellington, FL 33414
Phone (561) 472-5810

13001 State Road 80
Westlake, FL 33470
Phone (561) 784-3127

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1039 Ridge Ave SW
Atlanta, GA 30315
Phone (407) 761-8640

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-2369

503 S 8th St
Griffin, GA 30224
Phone (770) 227-5505

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

775 Poplar Rd
Ste 120
Newnan, GA 30265
Phone (770) 400-4510

220 Northside Dr
Valdosta, GA 31602
Phone (229) 241-2800

2307 N Patterson St
Valdosta, GA 31602
Phone (229) 242-8888

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

7992 Solution Ctr
Chicago, IL 60677

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13935/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rking@direct.iuhealth.org

Organizations & group practices 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1194797555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 W HOSPITAL RD",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549672",
            "telephone_number": "812-723-7450",
            "fax_number": "812-723-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-247-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Capitol Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958166039",
            "country_code": "US",
            "telephone_number": "916-867-7830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3150 N Tenaya Way",
            "address_2": "# 360",
            "address_purpose": "LOCATION",
            "city": "Las Vagas",
            "state": "NV",
            "postal_code": "89128",
            "country_code": "US",
            "telephone_number": "702-932-2526",
            "fax_number": "702-363-8462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S 43rd St",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555714",
            "country_code": "US",
            "telephone_number": "425-690-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "RUDOLPH",
        "middle_name": "CARLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2023-03475",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD70053523",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01091543A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G197167",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "8287",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "MD-56037",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G197167",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD70053523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102914",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019914",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2361109",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rking@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "642 W Hospital Rd",
            "city": "Paoli",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474549672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paoli, IN

Sources for this page

Verify at the official NPI Registry.