Individual provider Active NPI

Christopher B King, M.D.

  • Urology Physician
  • Fort Wayne, IN
National Provider Identifier
1962637652
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01073904A Issued in IN
Practice address
2512 E Dupont Rd Ste 100
Fort Wayne, IN 46825-1609
Phone
(260) 436-6667
Fax
(260) 469-7437
NPI assigned
May 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01073904A IN Primary

Addresses

Primary practice location

2512 E Dupont Rd Ste 100
Fort Wayne, IN 46825-1609

Mailing address

1000 Provident Dr Ste D
Warsaw, IN 46580-3255
Phone (574) 549-6940

Other practice location 1

10101 Ernst Rd
Roanoke, IN 46783-9712
Phone (260) 234-5400

Other identifiers 1

IdentifierTypeStateIssuer
200800330MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CKING@DIRECT.IUHEALTH.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140722002284 IN Practitioner - Urology 8325264617 Reassigns benefits to 2 organizations
I20210609003460 OH Practitioner - Urology 8325264617

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLC 4,382 clinicians

Practice addresses (Care Compare)

10101 Ernst Rd
Roanoke, IN 46783-9712
Phone (888) 484-3258

Hospital & facility affiliations

  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Medical Group Inc CurrentSince Feb 1, 2015 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Mar 1, 2026 Accepting new patients
St Joseph Medical Group Inc CurrentSince Feb 1, 2015 Accepting new patients

Locations

800 Broadway
Ste 204
Fort Wayne, IN 46802
Phone (260) 420-4884

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-2298

2512 E DuPont Rd
Ste 100
Fort Wayne, IN 46825
Phone (260) 347-4459

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

10101 Ernst Rd
Roanoke, IN 46783
Phone (260) 234-5401

1205 Provident Dr
#A
Warsaw, IN 46580
Phone (574) 269-8383

Interoperability endpoints

  • Direct secure messaging: cking@direct.iuhealth.org

Organizations & group practices 3

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": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1962637652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PROVIDENT DR STE D",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803255",
            "telephone_number": "574-549-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 E DUPONT RD STE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251609",
            "telephone_number": "260-436-6667",
            "fax_number": "260-469-7437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Ernst Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "IN",
            "postal_code": "467839712",
            "country_code": "US",
            "telephone_number": "260-234-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CHRISTOPHER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-25",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01073904A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200800330",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CKING@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10101 Ernst Rd",
            "city": "Roanoke",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467839712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.