RUDOLPH CARLO KING (MD) – Obstetrics & Gynecology Physician, NPI 1194797555
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
339 OBSTETRICS/GYNECOLOGY in NV
Provider Addresses for RUDOLPH CARLO KING (MD)
PO BOX 15645
LAS VAGAS, NV 891145645
Phone: (702) 242-7308
Fax: (702) 240-8790
Type: Mailing
3150 N TENAYA WAY
# 360
LAS VAGAS, NV 89128
Phone: (702) 932-2526
Fax: (702) 363-8462
Type: Location
400 S 43rd St
Renton, WA 980555714
Phone: (425) 690-1000
Type: Location
3150 N Tenaya Way
# 360
Las Vagas, NV 89128
Phone: (702) 932-2526
Fax: (702) 363-8462
Type: Location
1111 6th Ave
Des Moines, IA 503142613
Phone: (515) 247-4240
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
642 W HOSPITAL RD
PAOLI, IN 474549672
Phone: (812) 723-7450
Fax: (812) 723-7508
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: 2026-01-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150929000388 | I | Obstetrics/Gynecology | GA | TBD |
| I20201222000126 | I | Obstetrics/Gynecology | FL | TBD |
| I20240405003609 | I | Obstetrics/Gynecology | IN | TBD |
| I20240501000369 | I | Obstetrics/Gynecology | NC | TBD |
| I20240525000227 | I | Obstetrics/Gynecology | LA | TBD |
| I20251113002901 | I | Hospitalist | WA | TBD |
| I20260129000914 | I | Obstetrics/Gynecology | IA | TBD |
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.
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 89114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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