Individual provider Active NPI

Tawanna N King, M.D.

  • Family Medicine Physician
  • New Ulm, MN
National Provider Identifier
1265793707
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
72186 Issued in MN
Practice address
1217 8TH St N
New Ulm, MN 56073-1552
Phone
(507) 217-5000
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101259020 VA
Family Medicine Physician 207Q00000X 17568 FL
Family Medicine Physician 207Q00000X 72186 MN Primary

Addresses

Primary practice location

1217 8TH St N
New Ulm, MN 56073-1552

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Other practice location 1

16268 Bennett Rd
Culpeper, VA 22701-4630
Phone (540) 825-6263

Other practice location 2

8109 Tis Well DR
Ste 511
Alexandria, VA 22306-8856
Phone (703) 799-4000

Other practice location 3

5625 Cenex Dr
Inver Grove Heights, MN 55077-1724
Phone (651) 552-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MN, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150930000857 DC Practitioner - Family Practice 8426277070 Reassigns benefits to 1 organization
I20151110001189 VA Practitioner - Family Practice 8426277070 Reassigns benefits to 2 organizations
I20220825002496 MN Practitioner - Family Practice 8426277070 Reassigns benefits to 2 organizations
I20231215001970 TX Practitioner - Family Practice 8426277070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

1324 5TH St N
New Ulm, MN 56073-1514
Phone (507) 217-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72186MNMDFamily Medicine Physician
17568FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Sep 6, 2022 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation Current Accepting new patients
Upper Great Lakes Family Health Center CurrentSince Apr 11, 2022 Accepting new patients
University of Virginia Physicians Group CurrentSince Jul 10, 2023 Accepting new patients
Allina Health System CurrentSince Sep 3, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Inova Physician Partners, LLC Family Medicine CurrentSince Sep 21, 2015 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 2, 2024 Accepting new patients
Group Health, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Upper Great Lakes Family Health Center Family Medicine Current Accepting new patients
Upper Great Lakes Family Health Center CurrentSince Apr 11, 2022 Accepting new patients
Allina Health System CurrentSince Sep 3, 2024 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

135 E State Highway M35
Gwinn, MI 49841
Phone (906) 346-9275

301 Explorer St
Gwinn, MI 49841
Phone (906) 346-4924

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

5625 Cenex Dr
Inver Grove Heights, MN 55077
Phone (651) 552-2600

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

1324 5th St N
New Ulm, MN 56073
Phone (507) 217-5000

1217 8th St N
New Ulm, MN 56073
Phone (507) 217-5000

8109 Tis Well Dr
Ste 511
Alexandria, VA 22306
Phone (703) 799-9500

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

16268 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-6263

8110 Gatehouse Rd
Ste 300W
Falls Church, VA 22042
Phone (703) 205-2214

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: tking670852@excellian.direct.allina.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1265793707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 8TH ST N",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731552",
            "telephone_number": "507-217-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16268 Bennett Rd",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227014630",
            "country_code": "US",
            "telephone_number": "540-825-6263",
            "fax_number": "540-825-4911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8109 Tis Well DR",
            "address_2": "Ste 511",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223068856",
            "country_code": "US",
            "telephone_number": "703-799-4000",
            "fax_number": "703-799-5902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5625 Cenex Dr",
            "address_purpose": "LOCATION",
            "city": "Inver Grove Heights",
            "state": "MN",
            "postal_code": "550771724",
            "country_code": "US",
            "telephone_number": "651-552-2600",
            "fax_number": "651-552-2672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "TAWANNA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101259020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "17568",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "72186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ulm, MN

Sources for this page

Verify at the official NPI Registry.