Cheryl J King, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K6871 Issued in TX

Practice address

4411 E Southcross Blvd
San Antonio, TX 78222-3726

Phone

(210) 648-9500

Fax

(210) 648-9504

NPI assigned

Jul 3, 2006

Last updated

Mar 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

Northwestern University Feinberg Medical School, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Antonio Premier Internal Medicine, PLLCGroup PAC ID 6608935366, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Antonio Premier Internal Medicine, PLLC

  dba SA Premier IM

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1891958542
  Medicare reassignment Care Compare group NPD
• Fred E Griffiths

  dba House Call Doctors Texas

  • Geriatric Medicine (Family Medicine) Physician
  • Austin, TX
  • NPI 1609821719
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1588693154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 E SOUTHCROSS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223726",
            "telephone_number": "210-648-9500",
            "fax_number": "210-648-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 E SOUTHCROSS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223726",
            "telephone_number": "210-648-9500",
            "fax_number": "210-648-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CHERYL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82213F",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110187729",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Browyn King, NP
• C Gordon King, MD
• Carolyn Leigh King, LPC ASSOCIATE
• Carolyn Mary King, LCSW
• Charis Dannelle King, RBT
• Dana Hodge King, D.D.S.
• Debra Annette King, FNP
• Donna Ann King, LOTA
• Elizabeth Andra King, M.D.
• Inez King

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.

Verify at the official NPI Registry.