Individual provider Active NPI

Gregory A. King, DPM

  • Foot Surgery Podiatrist
  • Rancho Mirage, CA
National Provider Identifier
1861574725
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E3942 Issued in CA
Practice address
35400 Bob Hope Dr Ste 211
Rancho Mirage, CA 92270-1774
Phone
(760) 327-1254
Fax
(760) 864-1499
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E3942 CA Primary

Addresses

Primary practice location

35400 Bob Hope Dr Ste 211
Rancho Mirage, CA 92270-1774

Mailing address

35400 Bob Hope Dr Ste 211
Rancho Mirage, CA 92270-1774
Phone (760) 327-1254

Other practice location 1

7281 Dumosa Ave Ste 1
Yucca Valley, CA 92284-3781
Phone (760) 327-1254

Other identifiers 1

IdentifierTypeStateIssuer
CA238838MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000261 CA Practitioner - Podiatry 6002836467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35400 Bob Hope Dr
Suite 211
Rancho Mirage, CA 92270-1774
Phone (760) 327-1254

Hospital & facility affiliations

  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue91
Removal of skin lesions1-10
Removal of nail tissue422
Removal or shaving of skin growth243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3942CAMDFoot Surgery Podiatrist
3942CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Foot and Ankle Specialists, Inc Foot Surgery CurrentSince Mar 7, 2017 Accepting new patients
Dr Marupuru a Professional Corporation Past Accepting new patients

Locations

35400 Bob Hope Dr
Ste 211
Rancho Mirage, CA 92270
Phone (760) 327-1254

35400 Bob Hope Dr
Ste 212
Rancho Mirage, CA 92270
Phone (760) 327-1254

7281 Dumosa Ave
Ste 1
Yucca Valley, CA 92284
Phone (619) 365-0950

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18809/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1861574725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR STE 211",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701774",
            "telephone_number": "760-327-1254",
            "fax_number": "760-864-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR STE 211",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701774",
            "telephone_number": "760-327-1254",
            "fax_number": "760-864-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7281 Dumosa Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922843781",
            "country_code": "US",
            "telephone_number": "760-327-1254",
            "fax_number": "760-864-1499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "GREGORY",
        "middle_name": "A.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E3942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA238838",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.