Individual provider Active NPI

John G King, M.D.

  • Family Medicine Physician
  • Milton, VT
National Provider Identifier
1811910540
Registry record updated Oct 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
420010681 Issued in VT
Practice address
28 Centre Dr
Milton, VT 05468-3104
Phone
(802) 847-4322
NPI assigned
Jul 25, 2006
Last updated
Oct 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2013

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 420010681 VT Primary

Addresses

Primary practice location

28 Centre Dr
Milton, VT 05468-3104

Mailing address

28 Centre Dr
Milton, VT 05468-3104
Phone (802) 847-4322

Other identifiers 2

IdentifierTypeStateIssuer
01071205MedicaidVT
1010264MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 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
I20040329000162 VT Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Geriatric Medicine 5092607697 Reassigns benefits to 4 organizations
I20160927002820 NY Practitioner - Family PracticePractitioner - Geriatric PsychiatryPractitioner - Sports Medicine 5092607697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Sports Medicine
Education
University of Rochester School of Medicine and Dentistry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
420010681VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
University of Vermont Medical Center Inc Family Medicine CurrentSince Dec 3, 2003 Accepting new patients
Central Vermont Medical Center Inc Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients

Locations

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

28 Centre Dr
Milton, VT 05468
Phone (802) 847-4322

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Interoperability endpoints

  • Direct secure messaging: jking3981@direct.uvmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381104000000",
    "number": "1811910540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CENTRE DR",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683104",
            "telephone_number": "802-847-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CENTRE DR",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683104",
            "telephone_number": "802-847-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "420010681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01071205",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010264",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, VT

Sources for this page

Verify at the official NPI Registry.