Individual provider Active NPI

John Barry King, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1609806132
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16619 Issued in AL
Practice address
3800 Ridgeway Dr
Birmingham, AL 35209-5506
Phone
(205) 612-1659
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16619 AL Primary
Hospitalist Physician 208M00000X 16619 AL

Addresses

Primary practice location

3800 Ridgeway Dr
Birmingham, AL 35209-5506

Mailing address

PO Box 59424
Birmingham, AL 35259-9424
Phone (205) 612-1659

Other identifiers 2

IdentifierTypeStateIssuer
000096618MedicaidAL
110214720OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090601000055 AL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 6507869484 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Birmingham, PC Internal Medicine CurrentSince May 16, 2006 Accepting new patients
Oak Mountain Group Services, LLC Hospitalist CurrentSince Sep 25, 2015 Accepting new patients
Medical Associates of Birmingham PC Internal Medicine Current Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Sep 25, 2015 Accepting new patients
Norwood Clinic Inc Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

3800 Ridgeway Dr
Homewood, AL 35209
Phone (205) 568-9526

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1609806132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59424",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352599424",
            "telephone_number": "205-612-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RIDGEWAY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095506",
            "telephone_number": "205-612-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JOHN",
        "middle_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "16619",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "16619",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000096618",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110214720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.