Vernon D King Jr., M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

D0043453 Issued in MD

Practice address

3455 Wilkens Ave Ste 208
Baltimore, MD 21229-5265

Phone

(410) 644-4320

NPI assigned

Aug 19, 2006

Last updated

Dec 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

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

Pathology

Education

University of Alabama School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Hicken Cranley Taylor PAGroup PAC ID 5991776387, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
• University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

Merit-based Incentive Payment System (MIPS)

Final score

79.7 of 100Reported as group

Quality

75

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Upper Chesapeake Medical Center, Inc.

  dba UM Upper Chesapeake Medical Center at Aberdeen

  • General Acute Care Hospital
  • Bel Air, MD
  • NPI 1598761355

  Corporate Director

  CMS ownership
• Upper Chesapeake Medical Center, Inc.

  dba UM Chesapeake Behavioral Health Pavilion at Aberdeen

  • Psychiatric Hospital
  • Aberdeen, MD
  • NPI 1891486908

  Corporate Director

  CMS ownership

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.

• DRS Hicken Cranley Taylor PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Baltimore, MD
  • NPI 1154401396
  Medicare reassignment Care Compare group NPD
• HCT Pathology Services LLC

  • Anatomic Pathology Physician
  • Baltimore, MD
  • NPI 1598831976
  Medicare reassignment NPD
• HCT Pathology Services LLC

  • Anatomic Pathology Physician
  • Westminster, MD
  • NPI 1659194819
  NPD
• Endocentre at Quarterfield Station

  • Endoscopy Clinic/Center
  • Glen Burnie, MD
  • NPI 1396798930
  NPD (past)
• Woodholme Gastroenterology Assoc PA

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1700839347
  NPD (past)
• Chesapeake Urology Associates, LLC

  • Urology Physician
  • Seaford, DE
  • NPI 1043719123
  NPD (past)

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

• University of Maryland Medical Center, LLC

  dba University of Maryland Medical Center

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1174660120
  Care Compare affiliation
• Upper Chesapeake Medical Center, Inc.

  dba UM Upper Chesapeake Medical Center at Aberdeen

  • General Acute Care Hospital
  • Bel Air, MD
  • NPI 1598761355
  Care Compare affiliation

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1457465940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 WILKENS AVE STE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295265",
            "telephone_number": "410-644-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 WILKENS AVE STE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295265",
            "telephone_number": "410-644-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "VERNON",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D0043453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128491600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "W2270008",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "61489901",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie M King, LCSW-C
• Theodore M King Jr., MD
• Tracy King, M.D.
• Tracy S King, DDS
• Tyisha King
• Wayne John King Jr.
• Zojeilah I King
• Kingdom Elements
• Kingdom Elements Midway LLC
• Chinyere Peace Kingdom-Nwankwoala, ACNPC-AG

• Anatomic Pathology & Clinical Pathology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Anatomic Pathology & Clinical Pathology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.