DR. KENNETH KING (DO) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1235117771

DR. KENNETH KING (DO) is a healthcare provider. based in Orlando, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. OS0008648 (FL). The NPI Number for DR. KENNETH KING (DO) is 1235117771

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH KING (DO)
NPI
1235117771
Phone
(904) 346-3606
Address
PO BOX 860554
Enumeration Date
5 January 2006
Last Update Date
23 July 2007

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8004243672
Graduation Year
1998 (28 years ago)
PAC ID
6608908835
Group Practice PAC ID
8628153087
Professional Enrollment ID
I20100722000960
Address ID
FL321773810PA611XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

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Provider Addresses for DR. KENNETH KING (DO)

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328860554

    Phone: (904) 346-3606

    Fax: (904) 346-0113

    Type: Mailing

  • Memorial Hospital, 3625, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States

    EMERGENCY DEPARTMENT

    JACKSONVILLE, FL 322164207

    Phone: (904) 346-3606

    Fax: (904) 346-0113

    Type: Location

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: 2010-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100722000960IEmergency MedicineFLTBD

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
99285Emergency department visit with high level of medical decision making336316$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only219200$0
99284Emergency department visit with moderate level of medical decision making7070$0
99291Critical care, first 30-74 minutes3939$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 32886)

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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: 8628153087View full group profile
NameSpecialtyState
Emergency MedicineNV
Emergency MedicineFL
Emergency MedicineRI
Emergency MedicineGA
-FL
Internal Medicine, Emergency MedicineFL
Emergency MedicineFL
Nurse PractitionerFL
Emergency MedicineFL
Emergency MedicineFL

Reviews

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Frequently asked questions

Does DR. KENNETH KING (DO) have a public NPI I can cite?
Public records show DR. KENNETH KING (DO) under NPI 1235117771.
Quick check: is DR. KENNETH KING (DO) active?
Public NPPES data shows DR. KENNETH KING (DO) with an active NPI status right now.
What type of care does DR. KENNETH KING (DO) provide?
DR. KENNETH KING (DO)'s profile centers on Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH KING (DO) tied to Orlando, Florida?
If you are local to Orlando, Florida, DR. KENNETH KING (DO) may be relevant to your search.
Can I export DR. KENNETH KING (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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