DR. MITCHELL S KING (MD) – Family Medicine Physician, NPI 1225038276

DR. MITCHELL S KING (MD) is a healthcare provider. based in Rockford, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036092084 (IL). The NPI Number for DR. MITCHELL S KING (MD) is 1225038276

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. MITCHELL S KING (MD)
NPI
1225038276
Phone
(815) 395-5861
Address
1601 PARKVIEW AVE
Enumeration Date
29 July 2005
Last Update Date
2 November 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3124133282
Graduation Year
1985 (41 years ago)
PAC ID
2163413659
Group Practice PAC ID
3072422716
Professional Enrollment ID
I20040522000250
Address ID
IL611042315RO1401XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for DR. MITCHELL S KING (MD)

  • 1601, Parkview Avenue, Rockford, Winnebago County, Illinois, 61107, United States

    CREDENTIALING S200C

    ROCKFORD, IL 611071822

    Phone: (815) 395-5861

    Fax: (815) 395-5575

    Type: Mailing

  • 1221, East State Street, Rockford, Winnebago County, Illinois, 61104, United States

    ROCKFORD, IL 611042231

    Phone: (815) 972-1000

    Fax: (815) 972-1033

    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: 2004-05-22

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
I20040522000250IFamily PracticeILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7627$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3716$0
99238Hospital discharge day management, 30 minutes or less3029$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 61107)

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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: 3072422716View full group profile
NameSpecialtyState
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
Gastroenterology, Internal MedicineWI
-IL
O P H T H A L M O L O G YNY
O T O L A R Y N G O L O G YCA
Certified Registered Nurse Anesthetist (Crna)IA
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

How is DR. MITCHELL S KING (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. MITCHELL S KING (MD) with NPI 1225038276.
Is DR. MITCHELL S KING (MD) still practicing?
DR. MITCHELL S KING (MD) is currently listed as active in the public NPI registry.
What is DR. MITCHELL S KING (MD) best known for clinically?
Directory data describes DR. MITCHELL S KING (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MITCHELL S KING (MD) based?
DR. MITCHELL S KING (MD) is tied to Rockford, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about DR. MITCHELL S KING (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."