Active NPI
Deen G King, MD
- Ophthalmology Physician
- Tampa, FL
National Provider Identifier
1861468456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME0038743
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046881900 | Medicaid | FL | |
| 4233973 | Other | FL | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.32 of 100
- Quality
- 96.85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0038743 | FL | MD | Ophthalmology Physician |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- 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.