NPIMap

Individual provider Active NPI

Gartrell D King, M.D.

  • Family Medicine Physician
  • Lombard, IL
National Provider Identifier
1962449140
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036056245 Issued in IL
Practice address
2 E 22ND St
Suite 306
Lombard, IL 60148-4976
Phone
(630) 376-6317
Fax
(630) 376-6319
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036056245 IL Primary

Addresses

Primary practice location

2 E 22ND St
Suite 306
Lombard, IL 60148-4976

Mailing address

2 E 22ND St
Suite 306
Lombard, IL 60148-4976
Phone (630) 376-6317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
K & E Medical LTD. Past Accepting new patients
Medicall Physicians Group, LTD. Past Accepting new patients
King I LTD PastSince Apr 15, 2006 Accepting new patients
Excellent Health Care Services, Inc. Past Accepting new patients
Special Needs Psychological Services,Inc. Past Accepting new patients
Alsip Integrated Medical Center S C Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: g.king@prospect.curemd.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1962449140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E 22ND ST",
            "address_2": "SUITE 306",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484976",
            "telephone_number": "630-376-6317",
            "fax_number": "630-376-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E 22ND ST",
            "address_2": "SUITE 306",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484976",
            "telephone_number": "630-376-6317",
            "fax_number": "630-376-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "GARTRELL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036056245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.