Jeffrey R King, DPM
Individual provider
Active NPI
Podiatrist · Windsor, VT
NPI 1306065115 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1306065115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 056-0000171 (VT)
- Practice address
- 289 County Rd
Windsor, VT 05089-9000
- Phone
- (802) 674-7300
- Fax
- (802) 674-7314
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
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.
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Windsor Hospital Corporation (56 clinicians)
Practice addresses (Care Compare)
289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-7300
Hospital & facility affiliations
- Vna and Hospice of Vermont and New Hampshire Home health agency · White River Junction, VT · CCN 477002
- Mt Ascutney Hospital Hospital · Windsor, VT · CCN 471302
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 26 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20060425000103 |
VT |
Practitioner - Podiatry |
3476563206 |
Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 056-0000171 | VT | MD | Podiatrist |
| 0326 | NH | MD | Physical Therapy Assistant |
Practice roles
Locations
2456 Christian St
Ste L2
White River Junction, VT 05001
Phone (802) 359-4335
289 County Rd
Windsor, VT 05089
Phone (802) 674-7220
Interoperability endpoints
- Direct secure messaging: jking622865@direct.dartmouth-hitchcock.org
- Direct secure messaging: jeffreyrking@mahhc.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Podiatrist |
213E00000X |
056-0000171 |
VT |
Yes |
Addresses
Primary practice location
289 County Rd
Windsor, VT 05089-9000
Mailing address
289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 0VN2018 | Medicaid | VT | |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| Direct Messaging Address |
jeffreyrking@mahhc.cernerdirect.com |
|
|
Other providers in Windsor, VT
- Leslie Ann Joslin, APRN
- Mary K Joyce, MD
- H Jeffrey Katchen, PA-C
- David Raymond Keith Sr., CRNA
- Anne Marie Kelly, LICSW
- Cynthia Jean Koch, B.S.
- Maryann Lachapelle
- Peter Gilbert Lapre, O.D.
- Katherine Jane Leary, BS, PHYSICAL THERAPY
- Ivan Levin, M.D.
All providers in Windsor, VT
· Podiatrist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.
Verify at the official NPI Registry.