NPIMap

Individual provider Active NPI

Kyle Joseph King, M.D.

  • Family Medicine Physician
  • Brandenburg, KY
National Provider Identifier
1982604625
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32025 Issued in KY
Practice address
815 Fairway Dr
Brandenburg, KY 40108-1415
Phone
(270) 422-4111
Fax
(270) 422-3629
NPI assigned
Jul 22, 2005
Last updated
Apr 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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 32025 KY Primary

Addresses

Primary practice location

815 Fairway Dr
Brandenburg, KY 40108-1415

Mailing address

815 Fairway Dr
Brandenburg, KY 40108-1415
Phone (270) 422-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100714000773 KY Practitioner - Family Practice 6709956386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Abraham Flexner Way
Louisville, KY 40202-1886
Phone (502) 587-4401

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Aug 14, 2024 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
University of Louisville Physicians, Inc. Family Medicine CurrentSince Aug 14, 2024 Accepting new patients
Meade Physicians, Inc. Family Medicine CurrentSince Jul 1, 1996 Accepting new patients
Impromed Corp Family Medicine PastSince Sep 15, 2010 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

815 Hillcrest Dr
Brandenburg, KY 40108
Phone (270) 422-3366

815 Hillcrest Dr
#C
Brandenburg, KY 40108
Phone (270) 422-3366

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • Direct secure messaging: kking44495@uoflhealth-dm.org

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.

Hospital & facility affiliations 6

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1982604625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 FAIRWAY DR",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081415",
            "telephone_number": "270-422-4111",
            "fax_number": "270-422-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FAIRWAY DR",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081415",
            "telephone_number": "270-422-4111",
            "fax_number": "270-422-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KYLE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "32025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandenburg, KY

Sources for this page

Verify at the official NPI Registry.