Individual provider Active NPI

Russell F. King II, M.D.

  • Diagnostic Radiology Physician
  • Charleston, WV
National Provider Identifier
1982608501
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
17556 Issued in WV
Practice address
1538 Kanawha Blvd E
Charleston, WV 25311-2435
Phone
(304) 344-3457
Fax
(304) 344-3480
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 17556 WV Primary

Addresses

Primary practice location

1538 Kanawha Blvd E
Charleston, WV 25311-2435

Mailing address

PO Box 11137
Charleston, WV 25339-1137
Phone (304) 344-3457

Other identifiers 13

IdentifierTypeStateIssuer
0130753OtherWVUMWA
020011800OtherWVFEDERAL BLACK LUNG
64080286MedicaidKY
2481078MedicaidOH
14175MedicaidWV
14193OtherWVCARELINK & CARELINK PEIA
550516458MedicaidWV
550516458OtherWVACORDIA NATIONAL PEIA
151237200OtherWVUS DOL & US POSTAL COMP
55-0516458OtherWVGROUP FEIN #
3810000058MedicaidWV
H53268OtherWVBRICKSTREET INSURANCE
001718809OtherWVFREEDOM BLUE & MS BC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040709000055 WV Practitioner - Diagnostic Radiology 0648175828 Reassigns benefits to 16 organizations
I20240215002770 KY Practitioner - Diagnostic Radiology 0648175828 Reassigns benefits to 2 organizations
I20251023004758 TN Practitioner - Diagnostic Radiology 0648175828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians
Middle Tennessee Imaging LLCGroup PAC ID 5698743706, 121 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Community Health AssociationGroup PAC ID 1759291313, 69 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

Charleston, WV 25314
Phone (708) 915-5671

114 Ashby Ave
Charleston, WV 25314-1008
Phone (866) 722-1655

115 Summers Hospital Rd
Hinton, WV 25951-5172
Phone (615) 312-0600

122 Pinnell St
Ripley, WV 25271-9101
Phone (304) 372-2731

2138 Presidential Dr
Charleston, WV 25314-2369
Phone (219) 767-6320

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

28 White Bridge Pike
Suite 111
Nashville, TN 37205-1466
Phone (615) 356-3999

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
91.68
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.47 of 100Reported as group
Quality
85.04
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17556WVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Sep 18, 2024 Accepting new patients
T J Samson Community Hospital CurrentSince Jan 22, 2024 Accepting new patients
West Virginia University Medical Corporation Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Cumberland County Hospital Association Inc CurrentSince Jan 3, 2024 Accepting new patients
Community Health Association CurrentSince Apr 25, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince May 28, 2025 Accepting new patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Aug 2, 2025 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Jan 27, 2026 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Oct 4, 2024 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Community Health Association CurrentSince Apr 25, 2025 Accepting new patients
Norton Clark Physician Practices, LLC CurrentSince Apr 13, 2024 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 4, 2024 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 1, 2025 Accepting new patients
THS Physician Partners Inc CurrentSince Aug 16, 2024 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Associated Radiologists, Inc. Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
Cumberland County Hospital Association Inc Diagnostic Radiology CurrentSince Jan 3, 2024 Accepting new patients
Community Health Association Past Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology Past Accepting new patients
Charleston Radiation Therapy Consultants PLLC Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations (25 of 65)

1937 Momentum Pl
Chicago, IL 60689

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

295 Main St
Calhoun, KY 42327
Phone (270) 273-9310

140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

105 Prather Path
Ste 1200
Georgetown, KY 40324
Phone (502) 570-3785

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

210 Black Gold Blvd
Hazard, KY 41701
Phone (606) 436-0711

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

210 N Main St
Morgantown, KY 42261
Phone (270) 504-1300

2200 E Parrish Ave
Bldg D
Owensboro, KY 42303
Phone (270) 688-1770

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

Interoperability endpoints

  • Direct secure messaging: rking432187@direct.wvuhsdirect.com

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 5

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1982608501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11137",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253391137",
            "telephone_number": "304-344-3457",
            "fax_number": "304-344-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112435",
            "telephone_number": "304-344-3457",
            "fax_number": "304-344-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RUSSELL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "17556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0130753",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "020011800",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64080286",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2481078",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14175",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK & CARELINK PEIA",
            "identifier": "14193",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550516458",
            "state": "WV"
        },
        {
            "code": "01",
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            "issuer": "ACORDIA NATIONAL PEIA",
            "identifier": "550516458",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL & US POSTAL COMP",
            "identifier": "151237200",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP FEIN #",
            "identifier": "55-0516458",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000058",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET INSURANCE",
            "identifier": "H53268",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM BLUE & MS BC BS",
            "identifier": "001718809",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.