NPIMap

Individual provider Active NPI

Mark D King, M.D.

  • Infectious Disease Physician
  • Boulder, CO
National Provider Identifier
1902888746
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
DR.0043187 Issued in CO
Practice address
4800 Riverbend Rd
Suite 200
Boulder, CO 80301-2636
Phone
(303) 415-8850
Fax
(303) 415-8870
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X DR.0043187 CO Primary

Addresses

Primary practice location

4800 Riverbend Rd
Suite 200
Boulder, CO 80301-2636

Mailing address

5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 415-8850

Other identifiers 1

IdentifierTypeStateIssuer
73205338MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050203000926 CO Practitioner - Infectious Disease 9739130071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Texas Medical School at Houston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

4800 Riverbend Rd
Suite 200
Boulder, CO 80301-2636
Phone (303) 415-8850

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0043187COMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Jan 1, 2005 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health CurrentSince Jan 1, 2005 Accepting new patients
Boulder Community Health Past Accepting new patients
Dekalb County Board of Health Past Accepting new patients

Locations

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

4800 Riverbend Rd
Ste 200
Boulder, CO 80301
Phone (303) 415-8850

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770

1136 Alpine Ave
Ste 205
Boulder, CO 80304
Phone (303) 938-3167

Organizations & group practices 5

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 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1902888746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-415-8850",
            "fax_number": "303-415-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 RIVERBEND RD",
            "address_2": "SUITE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012636",
            "telephone_number": "303-415-8850",
            "fax_number": "303-415-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CO",
            "license": "DR.0043187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73205338",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.