LISA KING (M.D.) – Family Medicine Physician, NPI 1164439451

LISA KING (M.D.) is a healthcare provider. based in Louisville, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 45295 (KY). The NPI Number for LISA KING (M.D.) is 1164439451

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
LISA KING (M.D.)
NPI
1164439451
Phone
(502) 968-6226
Address
6801 DIXIE HWY
Enumeration Date
1 August 2006
Last Update Date
29 July 2013

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
2518676071
Graduation Year
1997 (29 years ago)
PAC ID
9638101694
Group Practice PAC ID
3072558378
Professional Enrollment ID
I20191014003625
Address ID
AL364261500BR1121XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

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Provider Addresses for LISA KING (M.D.)

  • Skyline Chili, 6801, Dixie Highway, Louisville, Jefferson County, Kentucky, 40258, United States

    SUITE 130

    LOUISVILLE, KY 402583913

    Phone: (502) 968-6226

    Fax: (502) 966-5562

    Type: Mailing

  • 5100, Outer Loop, Louisville, Jefferson County, Kentucky, 40219, United States

    LOUISVILLE, KY 402194056

    Phone: (502) 968-6226

    Fax: (502) 966-5562

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $1,101.

Total Amount is formed as General ($1,101) + Research ($0) + Ownership ($0) = $1,101.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($319).

Total Amount

$1,101

General + Research + Ownership

Payments

35

Total payment records

General Amount

$1,101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-10-14

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
I20191014003625IFamily PracticeALTBD

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
83036Hemoglobin a1c level1512$0
View full utilization report →

Insurance plans in this area (ZIP 40258)

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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: 3072558378View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Nurse PractitionerAL
Family Practice, Emergency MedicineAL
Internal Medicine, Family PracticeAL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
O B S T E T R I C S/ G Y N E C O L O G YFL
-AL
Nurse PractitionerAL
Family PracticeAL

Reviews

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Frequently asked questions

What is the registry number for LISA KING (M.D.)?
The registry entry for LISA KING (M.D.) shows NPI 1164439451.
Is LISA KING (M.D.)'s NPI status active today?
Active status means LISA KING (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret LISA KING (M.D.)'s specialty?
The extract shows Family Medicine Physician for LISA KING (M.D.). Clinical services aligned with this taxonomy classification.
Is LISA KING (M.D.) tied to Louisville, Kentucky?
If you are local to Louisville, Kentucky, LISA KING (M.D.) may be relevant to your search.
Why is information missing for LISA KING (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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