Individual provider Active NPI

Susan C King, MD

  • Family Medicine Physician
  • Cedar Park, TX
National Provider Identifier
1669459327
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1633 Issued in TX
Practice address
1907 Cypress Creek Rd
Suite 104
Cedar Park, TX 78613-4150
Phone
(512) 346-7966
Fax
(512) 346-7196
NPI assigned
Dec 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L1633 TX Primary

Addresses

Primary practice location

1907 Cypress Creek Rd
Suite 104
Cedar Park, TX 78613-4150

Mailing address

1907 Cypress Creek Rd
Suite 104
Cedar Park, TX 78613-4150
Phone (512) 346-7966

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040715001147 TX Practitioner - Family Practice 9436138278 Practice locations: Cedar Park, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1907 Cypress Creek Rd
Suite 104
Cedar Park, TX 78613-4151
Phone (512) 346-7966

3405 El Salido Pkwy
Cedar Park, TX 78613-5640
Phone (512) 270-2247

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions23
Removal of nail tissue1-10

National Provider Directory

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

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1669459327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 CYPRESS CREEK RD",
            "address_2": "SUITE 104",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134150",
            "telephone_number": "512-346-7966",
            "fax_number": "512-346-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 CYPRESS CREEK RD",
            "address_2": "SUITE 104",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134150",
            "telephone_number": "512-346-7966",
            "fax_number": "512-346-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.