Individual provider Active NPI

Steven J King, MD

  • Internal Medicine Physician
  • Gardendale, AL
National Provider Identifier
1861422396
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20022 Issued in AL
Practice address
2001 Fieldstown Road
Gardendale, AL 35117-4628
Phone
(205) 285-2095
Fax
(205) 285-2093
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20022 AL Primary
Pediatrics Physician 208000000X 20022 AL
Pediatric Gastroenterology Physician 2080P0206X 20022 AL

Addresses

Primary practice location

2001 Fieldstown Road
Gardendale, AL 35117-4628

Mailing address

2001 Fieldstown Road
Mount Olive, AL 35117-4628
Phone (205) 285-2095

Other identifiers 2

IdentifierTypeStateIssuer
009937111MedicaidAL
051534023OtherALBLUE CROSS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160308000516 AL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9436128964

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20022ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Pediatric Gastroenterology, P.C. Pediatric Gastroenterology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: steven.king.1@13471.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13471/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1861422396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 FIELDSTOWN ROAD",
            "city": "MOUNT OLIVE",
            "state": "AL",
            "postal_code": "351174628",
            "telephone_number": "205-285-2095",
            "fax_number": "205-285-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 FIELDSTOWN ROAD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "351174628",
            "telephone_number": "205-285-2095",
            "fax_number": "205-285-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "20022",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "20022",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "AL",
            "license": "20022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937111",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "051534023",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.