Active NPI
Christopher B King, M.D.
- Urology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01073904A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200800330 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CKING@DIRECT.IUHEALTH.ORG | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
10101 Ernst Rd
Roanoke, IN 46783-9712
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Ball Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Medical Group Inc | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| St Joseph Medical Group Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Angola, IN
- NPI 1801851902
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.