Amanda Nicole King, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

62562 Issued in MN

Practice address

46325 W 12 Mile Rd Ste 250
Novi, MI 48377-2461

Phone

(248) 465-1200

Fax

(248) 465-2850

NPI assigned

Apr 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Obstetrics/Gynecology

Education

Michigan State University College of Human Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians

Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.king.1@26060.direct.athenahealth.com
• Direct secure messaging: aking1134722@direct.hfhs.org

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.

• Henry Ford Health Providence Hospital

  • Surgery Physician
  • Southfield, MI
  • NPI 1942265236

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Uwh of Michigan PLC

  • Obstetrics & Gynecology Physician
  • East Lansing, MI
  • NPI 1982352357
  Medicare reassignment Care Compare group NPD
• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  NPD (past)
• Metro Partners in Womens Health, PC

  • Obstetrics & Gynecology Physician
  • Novi, MI
  • NPI 1083601082
  NPD (past)

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

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1407210883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD STE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772461",
            "telephone_number": "248-465-1200",
            "fax_number": "248-465-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD STE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772461",
            "telephone_number": "248-465-1200",
            "fax_number": "248-465-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "62562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kind Angels Assistance Living Services, Corp.
• McKenna Kindel
• Kindnest Home Care LLC
• Kinesis Physical Therapy and Performance
• Alexis King
• April King
• Chelsea N King
• Jacob King
• Jashareh King
• Jeffrey Peter King

• Obstetrics & Gynecology Physician in Novi, MI
• Providers in Novi, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.