NPIMap

Individual provider Active NPI

Alexandra R B King, D.O.

  • Family Medicine Physician
  • Belen, NM
National Provider Identifier
1558898569
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-2383-20 Issued in NM
Practice address
120 S 9TH St
Belen, NM 87002-3102
Phone
(505) 861-1013
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A-2383-20 NM Primary

Addresses

Primary practice location

120 S 9TH St
Belen, NM 87002-3102

Mailing address

120 S 9TH St
Belen, NM 87002-3102
Phone (505) 861-1013

Other practice location 1

Southern Colorado Family Medicine
902 Lakeview Avenue
Pueblo, CO 81004
Phone (719) 557-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231127002345 MA Practitioner - Family Practice 6204105000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilltown Community Health Centers IncGroup PAC ID 7315830148, 22 clinicians

Practice addresses (Care Compare)

58 Old N Rd
Worthington, MA 01098-9753
Phone (413) 238-5511

73 Russell Rd
Huntington, MA 01050-9777
Phone (413) 667-3009

Hospital & facility affiliations

  • Vna & Hospice of Cooley Dickinson Home health agency, Northampton, MA, CCN 227021
  • Baystate Home Health Home health agency, W Springfield, MA, CCN 227011
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-2383-20NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilltown Community Health Centers, Inc. CurrentSince Oct 10, 2023 Accepting new patients
Hilltown Community Health Centers, Inc. CurrentSince Oct 10, 2023 Accepting new patients

Locations

70 Boltwood Walk
Amherst, MA 01002
Phone (413) 259-3077

73 Russell Rd
Huntington, MA 01050
Phone (413) 667-3009

58 Old North Rd
Worthington, MA 01098
Phone (413) 238-5511

Interoperability endpoints

  • Direct secure messaging: aking46237@direct.ctc.masshiway.net

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558898569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 9TH ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023102",
            "telephone_number": "505-861-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 9TH ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023102",
            "telephone_number": "505-861-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Southern Colorado Family Medicine",
            "address_2": "902 Lakeview Avenue",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "81004",
            "country_code": "US",
            "telephone_number": "719-557-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "ALEXANDRA",
        "middle_name": "R B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-2383-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

Verify at the official NPI Registry.