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
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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
University of Louisville Physicians Inc 1,438 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Caretenders Home health agency, Elizabethtown, KY, CCN 187145
  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • Centerwell Home Health Home health agency, Elizabethtown, KY, CCN 187085
  • Caresouth HHA Holdings of Winchester, LLC Dba Enhabit Home Health Home health agency, Owensboro, KY, CCN 187087
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

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

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32025KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Family Medicine CurrentSince Aug 14, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 14, 2024 Accepting new patients
Meade Physicians, Inc. Family Medicine CurrentSince Jul 1, 1996 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine Current 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

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

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

Interoperability endpoints

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32025 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

815 Fairway Dr
Brandenburg, KY 40108-1415

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
KI6432025200MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2009.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KI6432025200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandenburg, KY

Sources for this page

Verify at the official NPI Registry.