Individual provider Active NPI

Tinna King, M.D.

  • Internal Medicine Physician
  • Creve Coeur, MO
National Provider Identifier
1932201092
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
101001 Issued in MO
Practice address
522 N New Ballas Rd
Ste. 371
Creve Coeur, MO 63141-6857
Phone
(314) 994-9338
Fax
(314) 432-4802
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 101001 MO Primary

Addresses

Primary practice location

522 N New Ballas Rd
Ste. 371
Creve Coeur, MO 63141-6857

Mailing address

522 N New Ballas Rd
Ste. 371
Creve Coeur, MO 63141-6857
Phone (314) 994-9338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20081028000789 MO Practitioner - Internal Medicine 6305904715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians

Practice addresses (Care Compare)

522 N New Ballas Rd
Suite 371
Creve Coeur, MO 63141-6840
Phone (314) 994-9338

7212 Balson Ave
Saint Louis, MO 63130-3001

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101001MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of West County P C Internal Medicine CurrentSince Apr 1, 2008 Accepting new patients

Locations

522 N New Ballas Rd
Ste 371
Saint Louis, MO 63141
Phone (314) 994-9338

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 5

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932201092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "STE. 371",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416857",
            "telephone_number": "314-994-9338",
            "fax_number": "314-432-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "STE. 371",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416857",
            "telephone_number": "314-994-9338",
            "fax_number": "314-432-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TINNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "101001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.