Active NPI
John J. King, MD
- Interventional Cardiology Physician
- Columbus, MS
National Provider Identifier
1861505448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 18685
- Practice address
- 2323 5TH St N
Columbus, MS 39705-2213 - Phone
- (662) 368-1169
- Fax
- (662) 570-1492
- NPI assigned
- Aug 16, 2006
- Last updated
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 18685 | MS | Primary |
Addresses
Primary practice location
2323 5TH St N
Columbus, MS 39705-2213
Mailing address
2323 5TH St N
Columbus, MS 39705-2213
Phone (662) 368-1169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04825058 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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
- Interventional Cardiology
- Education
- University of Mississippi School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 Hospital Dr
Suite 4a
Columbus, MS 39705-1901
Phone (662) 368-1169
Hospital & facility affiliations
- Enhabit Hospice of Northeast Mississippi
- BMH-Golden Triangle
- Baptist Memorial Hospital-Oktibbeha County
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.17 of 100
- Quality
- 88.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.86
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.39
- Improvement activities
- 40
- Cost
- 87.77
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.83 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 80 |
| Pacemaker insertion or repair | 22 |
| Varicose vein removal | 82 |
| Leg revascularization (restoring blood flow) | 183 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Cardiovascular Specialists | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- john.king.1@33074.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Cardiology Physician
- Columbus, MS
- NPI 1154989689
-
- Interventional Cardiology Physician
- Columbus, MS
- NPI 1811592454
-
- Cardiovascular Disease Physician
- Shreveport, LA
- NPI 1881127090
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Starkville, MS
- NPI 1346112521
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
-
dba Enhabit Hospice of Northeast Mississippi
- Community Based Hospice Care Agency
- Tupelo, MS
- NPI 1265710404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1861505448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052213",
"telephone_number": "662-368-1169",
"fax_number": "662-570-1492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052213",
"telephone_number": "662-368-1169",
"fax_number": "662-570-1492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JOHN",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MS",
"license": "18685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04825058",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.