Individual provider Active NPI

Dawan V King, MD

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1467481952
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0053563 Issued in MD
Practice address
315 N Calvert St
Mead BLDG, 1St Floor Peds
Baltimore, MD 21202-3611
Phone
(410) 500-5500
Fax
(410) 659-5691
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0053563 MD Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X D0053563 MD

Addresses

Primary practice location

315 N Calvert St
Mead BLDG, 1St Floor Peds
Baltimore, MD 21202-3611

Mailing address

PO Box 630896
Baltimore, MD 21263-0896

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040724000210 MD Practitioner - Pediatric Medicine 0446230866 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053563MDMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians SPPS CurrentSince Feb 1, 2015 Accepting new patients
Maryland Family Care, Inc. Pediatrics CurrentSince Nov 13, 2010 Accepting new patients
Family Health Centers of Baltimore Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

315 N Calvert St
Bldg 1ST
Baltimore, MD 21202
Phone (410) 500-5500

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Interoperability endpoints

  • Direct secure messaging: dking39743@direct.mdmercy.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1467481952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630896",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212630896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N CALVERT ST",
            "address_2": "MEAD BLDG, 1ST FLOOR PEDS",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023611",
            "telephone_number": "410-500-5500",
            "fax_number": "410-659-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DAWAN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0053563",
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MD",
            "license": "D0053563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.