Active NPI
Justin Rossel King, M.D.
- Vascular Surgery Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35.150936
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
222 Piedmont Ave
Cincinnati, OH 45219-4231
Phone (513) 475-7855
Hospital & facility affiliations
- University of Cincinnati Medical Center, LLC
- West Chester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.150936 | OH | MD | Vascular Surgery Physician |
| 11019205A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Medical Center, LLC | Current | Accepting new patients | |
| University of Cincinnati Physicians Company, LLC | Current | 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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
-
- Nurse Practitioner
- Cincinnati, OH
- NPI 1255352068
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.