Individual provider Active NPI

Terry Dean King, M.D.

  • Pediatric Cardiology Physician
  • West Monroe, LA
National Provider Identifier
1649249491
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
MD.02443R Issued in LA
Practice address
300 Pavilion Rd
West Monroe, LA 71292-9470
Phone
(318) 323-1100
Fax
(318) 323-1161
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X MD.02443R LA Primary

Addresses

Primary practice location

300 Pavilion Rd
West Monroe, LA 71292-9470

Mailing address

300 Pavilion Rd
West Monroe, LA 71292-9470
Phone (318) 323-1100

Other identifiers 3

IdentifierTypeStateIssuer
00017835MedicaidMS
1442399MedicaidLA
1109487MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040617000383 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Critical Care (Intensivists) 1254315138 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Medical Branch at Galveston, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211

300 Pavilion Rd
West Monroe, LA 71292-9470
Phone (318) 323-1100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
St Francis Medical Center, Inc CurrentSince Feb 22, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 1, 2015 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 1, 2015 Accepting new patients
Louisiana Department of Health - Office of Public Health Current Accepting new patients
St. Francis Medical Center, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Jul 24, 2021 Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Jul 24, 2021 Accepting new patients

Locations

1029 Capitol Ave
Crowley, LA 70526
Phone (337) 788-7507

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

920 Oliver Rd
Ste 1600A
Monroe, LA 71201
Phone (318) 323-1100

3421 Medical Park Dr
Monroe, LA 71203
Phone (318) 327-4686

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

1650 Desiard St
Monroe, LA 71201
Phone (318) 361-7370

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: tking125189@direct.ochsner.org

Organizations & group practices 8

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1649249491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PAVILION RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712929470",
            "telephone_number": "318-323-1100",
            "fax_number": "318-323-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PAVILION RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712929470",
            "telephone_number": "318-323-1100",
            "fax_number": "318-323-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TERRY",
        "middle_name": "DEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "LA",
            "license": "MD.02443R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017835",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442399",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109487",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.