Individual provider Active NPI

Caleb Ryan King, MD

  • Surgical Oncology Physician
  • Lake Mary, FL
National Provider Identifier
1780107987
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
ME164092 Issued in FL
Practice address
210 Rinehart Rd
Lake Mary, FL 32746-2514
Phone
(321) 843-2100
Fax
(321) 842-3498
NPI assigned
Jul 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X MD477897 PA
Student in an Organized Health Care Education/Training Program 390200000X TRN25561 FL
Surgical Oncology Physician 2086X0206X ME164092 FL Primary

Addresses

Primary practice location

210 Rinehart Rd
Lake Mary, FL 32746-2514

Mailing address

210 Rinehart Rd
Lake Mary, FL 32746-2514
Phone (321) 843-2100

Other practice location 1

86 W Underwood St Ste 201
Orlando, FL 32806-1110
Phone (321) 841-5142

Other practice location 2

300 Halket St Ste 2523
Pittsburgh, PA 15213-3180
Phone (336) 817-6940

Other identifiers 1

IdentifierTypeStateIssuer
119141200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 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
I20220802000156 PA Practitioner - General Surgery 0749662120 Reassigns benefits to 1 organization
I20230831003385 FL Practitioner - Surgical OncologyPractitioner - General Surgery 0749662120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

210 Rinehart Rd
Lake Mary, FL 32746-2514
Phone (407) 648-3800

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN25561FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 10, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 10, 2023 Accepting new patients

Locations

210 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 841-1869

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

83 W Miller St
Fl 9
Orlando, FL 32806
Phone (321) 841-4931

7472 Docs Grove Cir
Orlando, FL 32819
Phone (407) 241-1037

86 Underwood St
Ste 201
Orlando, FL 32806
Phone (321) 841-5142

300 Halket St
Ste 2523
Pittsburgh, PA 15213
Phone (336) 817-6940

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 3

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1780107987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 RINEHART RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462514",
            "telephone_number": "321-843-2100",
            "fax_number": "321-842-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 RINEHART RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462514",
            "telephone_number": "321-843-2100",
            "fax_number": "321-842-3498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 W Underwood St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "321-841-5142",
            "fax_number": "407-245-7059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Halket St Ste 2523",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133180",
            "country_code": "US",
            "telephone_number": "336-817-6940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CALEB",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": "MD477897",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN25561",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME164092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119141200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.