DR. KELLY ENNIX KING (MD) – Hospitalist Physician, NPI 1114998606

DR. KELLY ENNIX KING (MD) is a healthcare provider. based in Clearwater, Florida. specializing in HOSPITALIST, INTERNAL MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME116572 (FL). The NPI Number for DR. KELLY ENNIX KING (MD) is 1114998606

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY ENNIX KING (MD)
NPI
1114998606
Phone
(727) 532-1355
Address
PO BOX 10744
Enumeration Date
1 February 2006
Last Update Date
3 May 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8134286904
Graduation Year
2001 (25 years ago)
PAC ID
1052488681
Group Practice PAC ID
0345584835
Professional Enrollment ID
I20140416000327
Address ID
FL336024914TA203XXSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,491 HOSPITALIST in FL

Provider Addresses for DR. KELLY ENNIX KING (MD)

  • PO BOX 10744

    CLEARWATER, FL 337578744

    Phone: (727) 532-1355

    Fax: (727) 266-4943

    Type: Mailing

  • 170 Fitzgerald Rd Ste 1

    Lakeland, FL 338132633

    Phone: (863) 777-2736

    Type: Location

  • St. Joseph's Hospital-South, 6901, Simmons Loop, Riverview, Hillsborough County, Florida, 33578, United States

    4TH FLOOR

    RIVERVIEW, FL 335789498

    Phone: (813) 302-8388

    Fax: (813) 302-8453

    Type: Location

  • 935 OAKFIELD DR

    BRANDON, FL 335114935

    Phone: (813) 651-3492

    Type: Location

  • 11113 COVENTRY GROVE CIR

    LITHIA, FL 335474924

    Phone: (813) 244-4741

    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: 2018-02-16

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
I20140416000327IInternal MedicineFLTBD
I20180216001068IHospitalistFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9284$0
99285Emergency department visit with high level of medical decision making2222$0
View full utilization report →

Insurance plans in this area (ZIP 33757)

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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: 0345584835View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL
H O S P I T A L I S TFL
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL
Critical Care (Intensivists), Internal MedicineWI
H O S P I T A L I S TPR
H O S P I T A L I S TFL

Reviews

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Frequently asked questions

What identifier follows DR. KELLY ENNIX KING (MD) across health systems?
The NPI 1114998606 uniquely identifies DR. KELLY ENNIX KING (MD) in U.S. healthcare data.
Quick check: is DR. KELLY ENNIX KING (MD) active?
Public NPPES data shows DR. KELLY ENNIX KING (MD) with an active NPI status right now.
What does the directory say DR. KELLY ENNIX KING (MD) does?
Insurance directories may phrase it differently, but here DR. KELLY ENNIX KING (MD) maps to Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KELLY ENNIX KING (MD) in Clearwater, Florida?
For routing, start with Clearwater, Florida for DR. KELLY ENNIX KING (MD), then verify phone and hours locally.
Why is information missing for DR. KELLY ENNIX KING (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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