Individual provider Active NPI

Justin Rossel King, M.D.

  • Vascular Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1851746465
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35.150936 Issued in OH
Practice address
222 Piedmont Ave Ste 5200
Cincinnati, OH 45219-4222
Phone
(513) 558-3700
Fax
(513) 475-8247
NPI assigned
May 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301109885 MI
Student in an Organized Health Care Education/Training Program 390200000X 11019205A IN
Vascular Surgery Physician 2086S0129X 35.150936 OH Primary
Vascular Surgery Physician 2086S0129X 01083614A IN

Addresses

Primary practice location

222 Piedmont Ave Ste 5200
Cincinnati, OH 45219-4222

Mailing address

PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 585-6200

Other practice location 1

1801 N Senate Blvd
MPC 2, Suite #3500
Indianapolis, IN 46202
Phone (317) 962-0265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240910000757 OH Practitioner - Vascular Surgery 9931499167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians

Practice addresses (Care Compare)

222 Piedmont Ave
Cincinnati, OH 45219-4231
Phone (513) 475-7855

Hospital & facility affiliations

  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003
  • West Chester Hospital Hospital, West Chester, OH, CCN 360354

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.150936OHMDVascular Surgery Physician
11019205AINMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Medical Center, LLC Current Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince Aug 1, 2024 Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients

Locations

1801 Senate Blvd
Ste 3500
Indianapolis, IN 46202
Phone (317) 274-7827

222 Piedmont Ave
Ste 7200
Cincinnati, OH 45219
Phone (513) 475-4860

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

3200 Burnet Ave
Cincinnati, OH 45229
Phone (513) 558-7700

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

222 Piedmont Ave
Ste 5200
Cincinnati, OH 45219
Phone (513) 475-7363

7690 Discovery Dr
Unit 2300
West Chester, OH 45069
Phone (513) 474-4450

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 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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1851746465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-6200",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PIEDMONT AVE STE 5200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452194222",
            "telephone_number": "513-558-3700",
            "fax_number": "513-475-8247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 N Senate Blvd",
            "address_2": "MPC 2, Suite #3500",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46202",
            "country_code": "US",
            "telephone_number": "317-962-0265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JUSTIN",
        "middle_name": "ROSSEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301109885",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11019205A",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.150936",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01083614A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.