Active NPI
Scott Byron King, DPM
- Foot & Ankle Surgery Podiatrist
- Ottumwa, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00453
- Practice address
- 515 Church St
Ottumwa, IA 52501-4216 - Phone
- (641) 575-2054
- Fax
- (641) 575-2057
- NPI assigned
- Oct 11, 2005
- Last updated
- Jun 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00453 | IA | Primary |
Addresses
Primary practice location
515 Church St
Ottumwa, IA 52501-4216
Mailing address
515 Church St
Ottumwa, IA 52501-4216
Phone (641) 575-2054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0249003 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
515 Church St
Ottumwa, IA 52501-4216
Phone (641) 575-2054
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 19 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 454 |
| Removal or shaving of skin growth | 178 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00453 | IA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Healers Holdings - St. Louis, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot Healers Holdings - St. Louis, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Next Step Foot and Ankle Centers, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Scott B King DPM, PC | Current | Accepting new patients |
Locations
515 Church St
Ottumwa, IA 52501
Phone (641) 575-2054
1726 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 777-4500
11449 Olive Blvd
Saint Louis, MO 63141
Phone (314) 989-1700
1776 Crosswinds Dr
Wentzville, MO 63385
Phone (314) 735-5197
Interoperability endpoints
- https://api.platform.athenahealth.com/2451/brand/1/csg/1/fhir/r4
- sking87674@uihcdirect.org
Organizations & group practices 4
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.
-
dba Foot Healers
- Podiatrist
- Chesterfield, MO
- NPI 1053326892
Foot & Ankle Surgery
-
dba More Than Just Podiatry
- Foot & Ankle Surgery Podiatrist
- Wentzville, MO
- NPI 1144561648
-
dba Foot Healers
- Podiatrist
- Saint Louis, MO
- NPI 1003152273
Foot & Ankle Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ottumwa Regional Health Center
- General Acute Care Hospital
- Ottumwa, IA
- NPI 1013233741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1629066956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 CHURCH ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525014216",
"telephone_number": "641-575-2054",
"fax_number": "641-575-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 CHURCH ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525014216",
"telephone_number": "641-575-2054",
"fax_number": "641-575-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "SCOTT",
"middle_name": "BYRON",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IA",
"license": "00453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0249003",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.