NPIMap

Individual provider Active NPI

Roderick King Jr., MD

  • Pain Medicine (Anesthesiology) Physician
  • Lufkin, TX
National Provider Identifier
1396364808
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
V8305 Issued in TX
Practice address
116 Christie Dr
Lufkin, TX 75904-5534
Phone
(302) 345-3177
NPI assigned
Apr 14, 2020
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 69598 MN
Pain Medicine (Anesthesiology) Physician 207LP2900X V8305 TX Primary
Internal Medicine Physician 207R00000X 30839 MN

Addresses

Primary practice location

116 Christie Dr
Lufkin, TX 75904-5534

Mailing address

116 Christie Dr
Lufkin, TX 75904-5534
Phone (903) 400-4744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240717003127 MA Practitioner - Anesthesiology 8820412380 Reassigns benefits to 1 organization
I20250726000074 TX Practitioner - AnesthesiologyPractitioner - Internal Medicine 8820412380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Internal Medicine
Education
Stanford University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Charles R Gordon MD PAGroup PAC ID 8729992052, 24 clinicians

Practice addresses (Care Compare)

1 Medical PLZ
Pampa Regional Medctr
Pampa, TX 79065-3525
Phone (806) 663-5615

116 Christie Dr
Lufkin, TX 75904-5534
Phone (903) 592-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V8305TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Charles R Gordon MD PA CurrentSince Jul 1, 2025 Accepting new patients
Charles R Gordon MD PA Pain Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

62 13th St
Charlestown, MA 02129
Phone (617) 724-3874

116 Christie Dr
Lufkin, TX 75904
Phone (936) 249-1866

Interoperability endpoints

  • Direct secure messaging: roderick.kingjr.p2@direct.precisionspinecare.nextgenshare.com
  • Direct secure messaging: roderick.kingmd.p1@direct.precisionspinecare.nextgenshare.com

Organizations & group practices 4

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 4

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1396364808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CHRISTIE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045534",
            "telephone_number": "903-400-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CHRISTIE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045534",
            "telephone_number": "302-345-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RODERICK",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "69598",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "V8305",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "30839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.