Individual provider Active NPI

Nathan C King, M.D.

  • Internal Medicine Physician
  • Kealakekua, HI
National Provider Identifier
1861835035
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18383 Issued in HI
Practice address
81-6587 Mamalahoa Hwy.
Kealakekua, HI 96750-2060
Phone
(808) 323-3107
Fax
(808) 323-0012
NPI assigned
Apr 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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 A134571 CA
Internal Medicine Physician 207R00000X 18383 HI Primary

Addresses

Primary practice location

81-6587 Mamalahoa Hwy.
Kealakekua, HI 96750-2060

Mailing address

75-5870 Walua Rd Ste 200
Kailua Kona, HI 96740-1392
Phone (808) 323-3107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808001137 HI Practitioner - Internal Medicine 6901112861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hosanna LLCGroup PAC ID 7416997804, 6 clinicians

Practice addresses (Care Compare)

75 -5870 Walua Rd
Suite 200
Kailua Kona, HI 96740-1392
Phone (808) 323-3107

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision72
Removal of tissue1-10
Removal of skin lesions228
Removal of nail tissue1-10
Skin biopsy76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A134571CAMDInternal Medicine Physician
18383HIMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: nathan.king@59066133643268.direct.elationemr.com

Organizations & group practices 1

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 2

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1861835035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5870 WALUA RD STE 200",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401392",
            "telephone_number": "808-323-3107",
            "fax_number": "808-323-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-6587 MAMALAHOA HWY.",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967502060",
            "telephone_number": "808-323-3107",
            "fax_number": "808-323-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "NATHAN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A134571",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "18383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

Verify at the official NPI Registry.