Individual provider Active NPI

Rebecca M King, MD

  • Sports Medicine (Family Medicine) Physician
  • Arlington, VA
National Provider Identifier
1568816478
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
0101271171 Issued in VA
Practice address
764 23Rd St S
Arlington, VA 22202-2420
Phone
(703) 717-7000
Fax
(703) 717-7010
NPI assigned
Apr 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101271171 VA
Sports Medicine (Family Medicine) Physician 207QS0010X 0101271171 VA Primary

Addresses

Primary practice location

764 23Rd St S
Arlington, VA 22202-2420

Mailing address

6824 McLean Province Cir
Falls Church, VA 22043-1665

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190522001385 PA Practitioner - Family Practice 0648550145 Reassigns benefits to 2 organizations
I20210112002060 DC Practitioner - Family PracticePractitioner - Sports Medicine 0648550145 Reassigns benefits to 1 organization
I20230131000512 VA Practitioner - Family Practice 0648550145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Virginia Commonwealth University, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700

12255 Fair Lakes Pkwy
Fairfax, VA 22033-3952
Phone (703) 237-4800

13285 Minnieville Rd
Woodbridge, VA 22192-4018
Phone (703) 986-2400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101271171VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince Jul 1, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jul 27, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Family Medicine CurrentSince Oct 21, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Jul 1, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Family Medicine CurrentSince Jul 27, 2022 Accepting new patients
York Hospital Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
York Hospital Current Accepting new patients
Wellspan Medical Group CurrentSince Jul 1, 2019 Accepting new patients

Locations

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

25 Monument Rd
Ste 250
York, PA 17403
Phone (717) 741-9344

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1001 S George St
Bldg Mkb
York, PA 17403
Phone (717) 851-2521

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

13285 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 986-2400

14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000

Organizations & group practices 9

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": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1568816478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 MCLEAN PROVINCE CIR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 23RD ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022420",
            "telephone_number": "703-717-7000",
            "fax_number": "703-717-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-17",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101271171",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "VA",
            "license": "0101271171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "764 23rd St S",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222022420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.