NPIMap

Individual provider Active NPI

Richard M King, MD

  • Internal Medicine Physician
  • Beachwood, OH
National Provider Identifier
1861481350
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35043622 Issued in OH
Practice address
3985 Warrensville Center Rd
Beachwood, OH 44122-6764
Phone
(216) 283-4494
Fax
(216) 283-2351
NPI assigned
Oct 18, 2005
Last updated
Mar 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35043622 OH Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35043622 OH

Addresses

Primary practice location

3985 Warrensville Center Rd
Beachwood, OH 44122-6764

Mailing address

26908 Detroit Rd
Suite 301
Westlake, OH 44145-2398
Phone (440) 617-1823

Other identifiers 2

IdentifierTypeStateIssuer
P00067727OtherOHRR MEDICARE
0402586MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100423000099 OH Practitioner - Internal Medicine 8921024118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3985 Warrensville Ctr Rd
Beachwood, OH 44122-6764

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35043622OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Richard M King MD Inc. Internal Medicine CurrentSince Oct 1, 2002 Accepting new patients
Select Specialty Hospital - Cleveland, LLC Past Accepting new patients
Shaker Gardens Opco LLC Past Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients
Progressive Interchange Healthcare LLC Past Accepting new patients
Beachwood Nursing Past Accepting new patients
Aj Suburban Pavilion Opco LLC Past Accepting new patients
WP Operating LLC Past Accepting new patients

Locations

6935 Treeline Dr
Ste J
Brecksville, OH 44141
Phone (440) 746-3444

3985 Warrensville Center Rd
#R
Warrensville Heights, OH 44122
Phone (216) 283-4464

3985 Warrensville Center Rd
Warrensvl Hts, OH 44122
Phone (216) 283-4464

26908 Detroit Rd
Ste 301
Westlake, OH 44145
Phone (440) 617-1823

Interoperability endpoints

  • Direct secure messaging: rking33208@direct.ccf.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harvard Gardens Rehabilitation & Care CenterCleveland, OH, CCN 365828 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest		 Dec 31, 2024
Dec 31, 2024
Dec 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • WP Operating LLC

    dba Harvard Gardens Rehabilitation & Care Center

    • Skilled Nursing Facility
    • Cleveland, OH
    • NPI 1700295573

    Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1861481350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 DETROIT RD",
            "address_2": "SUITE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452398",
            "telephone_number": "440-617-1823",
            "fax_number": "440-617-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 WARRENSVILLE CENTER RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226764",
            "telephone_number": "216-283-4494",
            "fax_number": "216-283-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35043622",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35043622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00067727",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0402586",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.