Individual provider Active NPI

Deen G King, MD

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1861468456
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0038743 Issued in FL
Practice address
3115 W Swann Ave
Tampa, FL 33609-4617
Phone
(813) 492-2020
Fax
(813) 492-2099
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X ME38743 FL
Ophthalmology Physician 207W00000X ME0038743 FL Primary

Addresses

Primary practice location

3115 W Swann Ave
Tampa, FL 33609-4617

Mailing address

403 Vonderburg Dr
Brandon, FL 33511-5982
Phone (813) 813-6811

Other practice location 1

1701 Rickenbacker Dr Ste 102
Sun City Center, FL 33573-5363
Phone (813) 634-8877

Other identifiers 2

IdentifierTypeStateIssuer
046881900MedicaidFL
4233973OtherFLAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dking@floridaeye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
96.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0038743FLMDOphthalmology Physician

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: dking@floridaeye.intellechartdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1861468456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115982",
            "telephone_number": "813-813-6811",
            "fax_number": "813-681-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094617",
            "telephone_number": "813-492-2020",
            "fax_number": "813-492-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Rickenbacker Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335735363",
            "country_code": "US",
            "telephone_number": "813-634-8877",
            "fax_number": "813-634-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "DEEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "FL",
            "license": "ME38743",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0038743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046881900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4233973",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dking@floridaeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "3115 W Swann Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336094617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.