Individual provider Active NPI

Lorena Carolina Martinez King, MD

  • Maternal & Fetal Medicine Physician
  • Springfield, IL
National Provider Identifier
1710474549
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
036.175135 Issued in IL
Practice address
400 N 9TH St FL 3
Springfield, IL 62702-5310
Phone
(217) 545-8000
Fax
(217) 545-3952
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X MD61271343 WA
Obstetrics & Gynecology Physician 207V00000X MD61271343 WA
Maternal & Fetal Medicine Physician 207VM0101X 036.175135 IL Primary
Obstetrics & Gynecology Physician 207V00000X 036.175135 IL

Addresses

Primary practice location

400 N 9TH St FL 3
Springfield, IL 62702-5310

Mailing address

PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000

Other practice location 1

1959 NE Pacific St
Seattle, WA 98195-1405
Phone (206) 520-5000

Other practice location 2

320 E Central Ave
Decatur, IL 62521-4665
Phone (217) 545-8000

Other identifiers 2

IdentifierTypeStateIssuer
679273OtherTXBASIC POSTGRADUATE TRAINING PERMIT
1710474549MedicaidWA

Other names 1

  • Lorena Carolina Martinez Gonzalez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220511001803 WA Practitioner - Obstetrics/Gynecology 5698152734 Reassigns benefits to 1 organization
I20250915001577 IL Practitioner - Obstetrics/Gynecology 5698152734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siu Physicians and Surgeons IncGroup PAC ID 2365352820, 316 clinicians

Practice addresses (Care Compare)

400 N 9TH St
Springfield, IL 62702-5310
Phone (217) 545-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61271343WAMDObstetrics & Gynecology Physician
036.175135ILMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians Obstetrics & Gynecology CurrentSince Jul 1, 2022 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Sep 3, 2025 Accepting new patients
Valley Medical Group-Renton CurrentSince Mar 1, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Sep 3, 2025 Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Siu Physicians & Surgeons, Inc Past Accepting new patients
University of Washington Past Accepting new patients

Locations

320 E Central Ave
Decatur, IL 62521
Phone (217) 877-4694

612 N 11th St
Quincy, IL 62301
Phone (217) 224-9484

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498

400 N 9th St
Fl 3
Springfield, IL 62702

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

17722 Talbot Rd S
Ste 100
Renton, WA 98055
Phone (425) 228-0722

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Interoperability endpoints

  • Direct secure messaging: lorenamartinezking@siusm.allscriptsdirect.net

Organizations & group practices 7

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1710474549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19639",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949639",
            "telephone_number": "217-545-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 9TH ST FL 3",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025310",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981951405",
            "country_code": "US",
            "telephone_number": "206-520-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625214665",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-3952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ KING",
        "first_name": "LORENA",
        "middle_name": "CAROLINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WA",
            "license": "MD61271343",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61271343",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036.175135",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.175135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BASIC POSTGRADUATE TRAINING PERMIT",
            "identifier": "679273",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710474549",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORENA",
            "last_name": "MARTINEZ GONZALEZ",
            "middle_name": "CAROLINA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.