CONNOR KING (PA-C) – Physician Assistant, NPI 1205442852

CONNOR KING (PA-C) is a healthcare provider. based in Thornton, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for CONNOR KING (PA-C) is 1205442852

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CONNOR KING (PA-C)
NPI
1205442852
Phone
(303) 844-5000
Address
9351 GRANT ST STE 490
Enumeration Date
18 September 2020
Last Update Date
4 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6145942900
Graduation Year
2020 (6 years ago)
PAC ID
4789030669
Group Practice PAC ID
9032516778
Professional Enrollment ID
I20231030000525
Address ID
OH431231932GR3206XBROA200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for CONNOR KING (PA-C)

  • 9351 GRANT ST STE 490

    THORNTON, CO 802294365

    Phone: (303) 844-5000

    Type: Mailing

  • 25 W 16TH ST

    NEW YORK, NY 100116364

    Phone: (330) 347-9408

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231030000525IPhysician AssistantOHTBD
I20251111002424IPhysician AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032516778View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal MedicineOH
Nurse PractitionerOH
General Practice, Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What number should I use to identify CONNOR KING (PA-C) for billing?
Administrative and clinical systems typically use NPI 1205442852 for CONNOR KING (PA-C).
Quick check: is CONNOR KING (PA-C) active?
Public NPPES data shows CONNOR KING (PA-C) with an active NPI status right now.
What type of care does CONNOR KING (PA-C) provide?
CONNOR KING (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to CONNOR KING (PA-C)?
The directory associates CONNOR KING (PA-C) with Thornton, Colorado. Check all listed addresses for suites or satellite offices.
Can I export CONNOR KING (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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