Individual provider Active NPI

William Russell King, MD

  • Family Medicine Physician
  • Kansas City, KS
National Provider Identifier
1376603712
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-24277 Issued in KS
Practice address
8101 Parallel Pkwy
Ste 100
Kansas City, KS 66112-2010
Phone
(913) 299-9200
Fax
(913) 299-9210
NPI assigned
Dec 8, 2006
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-24277 KS Primary

Addresses

Primary practice location

8101 Parallel Pkwy
Ste 100
Kansas City, KS 66112-2010

Mailing address

8101 Parallel Pkwy Ste 100
Kansas City, KS 66112-2067
Phone (913) 299-9200

Other identifiers 1

IdentifierTypeStateIssuer
100139360BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100624000430 KS Practitioner - Family Practice 1153452867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8101 Parallel Pkwy
Suite 100
Kansas City, KS 66112-2067
Phone (913) 299-9200

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
04-24277KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Apr 1, 2014 Accepting new patients

Locations

8101 Parallel Pkwy
Ste 100
Kansas City, KS 66112
Phone (913) 299-9200

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

8940 State Ave
Kansas City, KS 66112
Phone (913) 384-5589

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

1000 Carondelet Dr
Ofc
Kansas City, MO 64114
Phone (816) 943-7604

Organizations & group practices 2

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 3

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1376603712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 PARALLEL PKWY STE 100",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122067",
            "telephone_number": "913-299-9200",
            "fax_number": "913-299-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 PARALLEL PKWY",
            "address_2": "STE 100",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122010",
            "telephone_number": "913-299-9200",
            "fax_number": "913-299-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "WILLIAM",
        "middle_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-24277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100139360B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.