Individual provider Active NPI

Roderick Allan King, M.D.

  • Psychiatry Physician
  • Indiantown, FL
National Provider Identifier
1760493548
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME147478 Issued in FL
Practice address
96 SW Allapattah Rd
Indiantown, FL 34956-4307
Phone
(772) 597-9400
NPI assigned
Aug 10, 2006
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME147478 FL Primary

Addresses

Primary practice location

96 SW Allapattah Rd
Indiantown, FL 34956-4307

Mailing address

96 SW Allapattah Rd
Indiantown, FL 34956-4307
Phone (772) 597-9400

Other identifiers 1

IdentifierTypeStateIssuer
119279800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20111027000437 DC Practitioner - Psychiatry 6204867377 Reassigns benefits to 1 organization
I20111027000468 MD Practitioner - Psychiatry 6204867377 Reassigns benefits to 1 organization
I20230830003562 FL Practitioner - Psychiatry 6204867377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
District Clinic Holdings IncGroup PAC ID 4486876000, 15 clinicians

Practice addresses (Care Compare)

39200 Hooker Hwy
Suite 101
Belle Glade, FL 33430-5368
Phone (561) 642-1000

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
75.8
Improvement activities
40
Cost
77.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME147478FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Della Behavioral Health Services CurrentSince Aug 1, 2020 Accepting new patients
Behavioral Healthcare Options, Inc. Past Accepting new patients

Locations

7067 Columbia Gateway Dr
Ste 180
Columbia, MD 21046
Phone (410) 925-7225

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1760493548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 SW ALLAPATTAH RD",
            "city": "INDIANTOWN",
            "state": "FL",
            "postal_code": "349564307",
            "telephone_number": "772-597-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 SW ALLAPATTAH RD",
            "city": "INDIANTOWN",
            "state": "FL",
            "postal_code": "349564307",
            "telephone_number": "772-597-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RODERICK",
        "middle_name": "ALLAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME147478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119279800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiantown, FL

Sources for this page

Verify at the official NPI Registry.