Individual provider Active NPI

Arthur Daniel King, MD

  • Dermatology Physician
  • Stuart, FL
National Provider Identifier
1255327722
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0069441 Issued in FL
Practice address
809 SE Osceola St
Stuart, FL 34994-2431
Phone
(772) 219-0044
Fax
(772) 219-0709
NPI assigned
Sep 21, 2005
Last updated
Jun 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME0069441 FL Primary

Addresses

Primary practice location

809 SE Osceola St
Stuart, FL 34994-2431

Mailing address

809 SE Osceola St
Stuart, FL 34994-2431
Phone (772) 219-0044

Other identifiers 2

IdentifierTypeStateIssuer
251999200MedicaidFL
DG5451OtherFLPALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070202000306 FL Practitioner - Dermatology 3173525219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Florida College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

809 E Osceola St
Stuart, FL 34994-2431
Phone (772) 219-0044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision312
Removal of tissue16
Removal of skin lesions238
Removal or shaving of skin growth125
Skin biopsy666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0069441FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of the Treasure Coast P a Dermatology CurrentSince Sep 15, 2006 Accepting new patients

Locations

809 SE Osceola St
Stuart, FL 34994
Phone (772) 219-0044

900 SE Ocean Blvd
Ste 240
Stuart, FL 34994
Phone (561) 626-9041

Organizations & group practices 1

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 2

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1255327722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942431",
            "telephone_number": "772-219-0044",
            "fax_number": "772-219-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942431",
            "telephone_number": "772-219-0044",
            "fax_number": "772-219-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ARTHUR",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0069441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251999200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DG5451",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.