Active NPI
Robert Lawrence King, MD
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 11013296A
- Practice address
- 714 N Senate Ave
Indianapolis, IN 46202-3763 - Phone
- (317) 432-3134
- NPI assigned
- Jun 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 11013296A | IN | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 01066161A | IN |
Addresses
Primary practice location
714 N Senate Ave
Indianapolis, IN 46202-3763
Mailing address
5211 Primrose Ave
Indianapolis, IN 46220-3314
Phone (317) 251-8206
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201061450 | Medicaid | IN | |
| P01085957 | Other | IN | RR MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Indiana University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 963-0166
1115 Ronald Reagan Pkwy
Avon, IN 46123-6910
Phone (317) 715-6477
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013296A | IN | MD | Diagnostic Radiology Physician |
| 01066161A | IN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Midwest Vein Treatment Clinic Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Cira Michigan PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
5924 Reliable Pkwy
Chicago, IL 60686
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175
714 N Senate Ave
Indianapolis, IN 46202
Phone (317) 963-0555
8101 Miller Farm Ln
Centerville, OH 45458
Phone (937) 281-0200
Interoperability endpoints
- rking6@direct.iuhealth.org
- rking@yourcarecommunity.org
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Vascular Surgery Physician
- Centerville, OH
- NPI 1023154333
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Diagnostic Radiology Physician
- Escanaba, MI
- NPI 1972141513
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1457557829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5211 PRIMROSE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462203314",
"telephone_number": "317-251-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 N SENATE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023763",
"telephone_number": "317-432-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ROBERT",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "11013296A",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": "01066161A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201061450",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P01085957",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.