Active NPI
Justin Michael King, M.D.
- Otolaryngology Physician
- Broomfield, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 47905
- Practice address
- 403 Summit Blvd
Suite 204
Broomfield, CO 80021-8294 - Phone
- (303) 619-3527
- NPI assigned
- Dec 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 47905 | CO | Primary |
Addresses
Primary practice location
403 Summit Blvd
Suite 204
Broomfield, CO 80021-8294
Mailing address
403 Summit Blvd
Suite 204
Broomfield, CO 80021-8252
Phone (303) 619-3527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194619601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Northeastern Ohio University College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1030 Johnson Rd
Suite 350
Golden, CO 80401-6053
Phone (720) 401-2139
1606 Prairie Ctr Pkwy
Suite 370
Brighton, CO 80601-4005
Phone (720) 401-2139
1818 N Ogden St
310 Peak ENT and Voice Ctr
Denver, CO 80218-1277
Phone (720) 401-2139
403 Summit Blvd
Unit 204
Broomfield, CO 80021-8253
Phone (720) 401-2139
Hospital & facility affiliations
- Good Samaritan Medical Center LLC
- Boulder Community Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.13 of 100
- Quality
- 89.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47905 | CO | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Michael King MD PC | Otolaryngology | Current | Accepting new patients |
| Peak Voice and Airway Center PLLC | Otolaryngology | Current | Accepting new patients |
Locations
403 Summit Blvd
Unit 204
Broomfield, CO 80021
Phone (303) 666-7024
1818 N Ogden St
Ste 310
Denver, CO 80218
Phone (720) 401-2139
1030 Johnson Rd
Ste 350
Golden, CO 80401
Phone (720) 305-4982
Interoperability endpoints
- https://api.platform.athenahealth.com/3333/brand/1/csg/1/fhir/r4
- justin.king.1@3333.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Broomfield, CO
- NPI 1104113430
-
- Otolaryngology Physician
- Broomfield, CO
- NPI 1447107883
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1497938567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 SUMMIT BLVD",
"address_2": "SUITE 204",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800218252",
"telephone_number": "303-619-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 SUMMIT BLVD",
"address_2": "SUITE 204",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800218294",
"telephone_number": "303-619-3527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JUSTIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-12",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CO",
"license": "47905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194619601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.