Individual provider Active NPI

James R Kingsley Jr., MD

  • Internal Medicine Physician
  • Menifee, CA
National Provider Identifier
1841687142
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A170281 Issued in CA
Practice address
29826 Haun Rd Ste 300
Menifee, CA 92586-6547
Phone
(951) 679-7022
Fax
(888) 379-6223
NPI assigned
Apr 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A170281 CA Primary

Addresses

Primary practice location

29826 Haun Rd Ste 300
Menifee, CA 92586-6547

Mailing address

1545 W Florida Ave
Hemet, CA 92543-3814
Phone (951) 791-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, CA, MN, GA, FL, NY, IL, OH, PA10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20170615002071 TX Practitioner - Internal Medicine 8325316326 Reassigns benefits to 6 organizations
I20210419001264 NM Practitioner - Internal Medicine 8325316326
I20210422001082 CA Practitioner - Internal Medicine 8325316326 Reassigns benefits to 1 organization
I20210628001160 MN Practitioner - Internal Medicine 8325316326
I20210913001446 GA Practitioner - Internal Medicine 8325316326 Reassigns benefits to 1 organization
I20220520000236 FL Practitioner - Internal Medicine 8325316326 Reassigns benefits to 1 organization
I20230404000952 NY Practitioner - Internal Medicine 8325316326 Reassigns benefits to 1 organization
I20241202003339 IL Practitioner - Internal Medicine 8325316326 Reassigns benefits to 1 organization
I20250114001398 OH Practitioner - Internal Medicine 8325316326 Reassigns benefits to 1 organization
I20250211000364 PA Practitioner - Internal Medicine 8325316326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Un of California, Irvine, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1016 W Jackson Blvd
Suite 1054
Chicago, IL 60607-2914
Phone (469) 391-0070

14180 Dallas Pkwy
Suite 620
Dallas, TX 75254-4363
Phone (469) 391-0070

2418 E York St
Philadelphia, PA 19125-3006
Phone (469) 391-0070

33471 Biltmore Dr
Temecula, CA 92592-1849
Phone (469) 391-0070

5550 Glades Rd
Suite 500
Boca Raton, FL 33431-7277
Phone (469) 391-0070

75 S Broadway
White Plains, NY 10601-4413
Phone (845) 415-7105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A170281CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsley Clinic PLLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Family Medicine Current Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Doctors for a Better Tomorrow PLLC Family Medicine CurrentSince Mar 29, 2019 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Mar 1, 2019 Accepting new patients
Medical Experts of Texas, P.a. CurrentSince Jun 1, 2017 Accepting new patients
Kingsley Clinic of New Mexico, LLC CurrentSince Apr 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Dec 21, 2018 Accepting new patients

Locations

1016 W Jackson Blvd
Chicago, IL 60607
Phone (773) 217-0363

6300 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 405-3617

75 S Broadway
Fl 4
White Plains, NY 10601
Phone (845) 415-7105

250 E 5th St
Fl 15
Cincinnati, OH 45202
Phone (469) 391-0070

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

14180 Dallas Pkwy
Ste 620
Dallas, TX 75254
Phone (469) 391-0070

8050 Meadow Rd
Dallas, TX 75231
Phone (214) 396-5260

2725 Wind River Ln
Denton, TX 76210
Phone (940) 600-2266

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2122 Rufe Snow Dr
Ste 132
Keller, TX 76248
Phone (817) 576-4050

7236 Blue Mound Rd
Ste 100
Saginaw, TX 76131
Phone (817) 386-4505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1841687142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433814",
            "telephone_number": "951-791-1111",
            "fax_number": "888-856-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD STE 300",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866547",
            "telephone_number": "951-679-7022",
            "fax_number": "888-379-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A170281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.