Individual provider Active NPI

Scott Byron King, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ottumwa, IA
National Provider Identifier
1629066956
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00453 Issued in IA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0249003MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040329000857 IA Practitioner - Podiatry 4284524901 Reassigns benefits to 1 organization
I20171019000530 MO Practitioner - Podiatry 4284524901 Reassigns benefits to 2 organizations

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue454
Removal or shaving of skin growth178
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00453IAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Healers Holdings - St. Louis, LLC Foot & Ankle Surgery CurrentSince Dec 1, 2017 Accepting new patients
Foot Healers Holdings - St. Louis, LLC Foot & Ankle Surgery CurrentSince Dec 1, 2017 Accepting new patients
Next Step Foot and Ankle Centers, Inc Foot & Ankle Surgery CurrentSince Jul 15, 2022 Accepting new patients
Scott B King DPM, PC CurrentSince Jun 2, 2020 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

  • FHIR API: https://api.platform.athenahealth.com/2451/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.