NPIMap

Individual provider Active NPI

Timothy J King, PA

  • Physician Assistant
  • Denton, TX
National Provider Identifier
1689772378
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00701 Issued in TX
Practice address
505 S Locust St
Denton, TX 76201-6021
Phone
(940) 387-2020
Fax
(940) 387-2453
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA00701 TX Primary

Addresses

Primary practice location

505 S Locust St
Denton, TX 76201-6021

Mailing address

505 S Locust St
Denton, TX 76201-6021
Phone (940) 387-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140508001300 TX Practitioner - Physician Assistant 2163465717 Reassigns benefits to 5 organizations
I20260526001446 OK Practitioner - Physician Assistant 2163465717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4835 LBJ Fwy
Suite 900
Dallas, TX 75244

8 Oak Park Dr
Bedford, MA 01730-1414

PO Box
Indianapolis, IN 46206

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
82.79
Improvement activities
40
Cost
76.18

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Texas, PLLC Physician Assistant CurrentSince Nov 9, 2020 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Physician Assistant CurrentSince Nov 9, 2020 Accepting new patients
People's Clinic of Denton County, Inc. PastSince Jun 6, 2005 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

Organizations & group practices 10

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 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1689772378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S LOCUST ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016021",
            "telephone_number": "940-387-2020",
            "fax_number": "940-387-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S LOCUST ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016021",
            "telephone_number": "940-387-2020",
            "fax_number": "940-387-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.