Individual provider Active NPI

Timothy Allen King, M.D.

  • Otolaryngology Physician
  • Duluth, MN
National Provider Identifier
1992758114
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
44561 Issued in MN
Practice address
400 E 3Rd St
Duluth, MN 55805-1951
Phone
(218) 786-8364
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 47103 WI
Otolaryngology Physician 207Y00000X 35656 IA
Otolaryngology Physician 207Y00000X 44561 MN Primary

Addresses

Primary practice location

400 E 3Rd St
Duluth, MN 55805-1951

Mailing address

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Other practice location 1

1000 Langworthy St
Dubuque, IA 52001-7313
Phone (563) 843-3475

Other identifiers 1

IdentifierTypeStateIssuer
0442277MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI, MN3 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
I20040902001329 IA Practitioner - Otolaryngology 3779559588 Reassigns benefits to 2 organizations
I20041018000445 WI Practitioner - Otolaryngology 3779559588 Reassigns benefits to 2 organizations
I20241008000351 MN Practitioner - Otolaryngology 3779559588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Minnesota, Duluth School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

1000 Langworthy St
Dubuque, IA 52001-7313
Phone (563) 584-4100

1240 Big Jack Rd
Platteville, WI 53818-8902
Phone (608) 348-6266

1500 Associates Dr
Dubuque, IA 52002-2201
Phone (563) 584-4100

200 Mercy Dr
Suite 201
Dubuque, IA 52001-7300
Phone (563) 584-3500

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 584-8000

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux11
Melanoma (skin cancer) excision153
Removal of tissue1-10
Removal of skin lesions73
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Oct 15, 2024 Accepting new patients
The Duluth Clinic LTD CurrentSince Oct 15, 2024 Accepting new patients
Medical Associates Clinic P C CurrentSince Jul 23, 2004 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Mar 1, 2016 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Current Accepting new patients
Mercy Specialty Clinic CurrentSince May 21, 2019 Accepting new patients
Mercy Specialty Clinic CurrentSince May 21, 2019 Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100

621 S Illinois Ave
Ste 103
Mason City, IA 50401

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

507 S Monroe St
Lancaster, WI 53813
Phone (608) 723-2131

9177 Old Potosi Rd
Lancaster, WI 53813
Phone (608) 723-4300

1240 Big Jack Rd
Platteville, WI 53818
Phone (608) 348-2844

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

Interoperability endpoints

  • Direct secure messaging: tking3933879@direct.trinity-health.org

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 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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1992758114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Langworthy St",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520017313",
            "country_code": "US",
            "telephone_number": "563-843-3475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "47103",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "35656",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "44561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442277",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.