Individual provider Active NPI

Emanuel King, PAC

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1972574812
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9102553 Issued in FL
Practice address
25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Phone
(407) 254-2500
Fax
(407) 423-2789
NPI assigned
Jan 30, 2006
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9102553 FL Primary

Addresses

Primary practice location

25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476

Mailing address

25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Phone (407) 254-2500

Other practice location 1

9685 Lake Nona Village Pl Ste 102
Orlando, FL 32827-7321
Phone (407) 418-0582

Other practice location 2

25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Phone (407) 254-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000056 FL Practitioner - Physician Assistant 6305882077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Orthopaedic Center MD PAGroup PAC ID 3678562840, 45 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1300 Oviedo Mall Blvd
Oviedo, FL 32765-7418
Phone (407) 977-3500

25 W Crystal Lake St
Suite 200
Orlando, FL 32806-4476
Phone (407) 254-2500

2699 Lee Rd
Suite 100
Winter Park, FL 32789-1738
Phone (407) 897-1363

464 N Alafaya TRL
Suite 108
Orlando, FL 32828-4350
Phone (407) 398-6450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.31 of 100Reported as group
Quality
88.59
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102553FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Orthopaedic Center MD PA CurrentSince Oct 29, 2018 Accepting new patients
Orlando Orthopaedic Center MD PA Current Accepting new patients
Orlando Orthopaedic Center MD PA CurrentSince Oct 29, 2018 Accepting new patients
Orlando Orthopaedic Center MD PA Past Accepting new patients

Locations

25 W Crystal Lake St
Ste 200
Orlando, FL 32806
Phone (407) 254-2500

9685 Lake Nona Village Pl
Ste 102
Orlando, FL 32827
Phone (407) 418-0582

2699 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 897-1363

Interoperability endpoints

  • Direct secure messaging: emanuel.king.d1.p1@direct.ooc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1972574812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CRYSTAL LAKE ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W CRYSTAL LAKE ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9685 Lake Nona Village Pl Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277321",
            "country_code": "US",
            "telephone_number": "407-418-0582",
            "fax_number": "407-418-0583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 W Crystal Lake St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328064476",
            "country_code": "US",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "EMANUEL",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.