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JERRY N KING M.D.
NPI 1669476396
Radiology - Vascular & Interventional Radiology in Albuquerque, NM

Active since June 10, 2005
4411 THE 25 WAY NE, STE 150, ALBUQUERQUE, NM 87109(505) 332-6900(505) 332-6921 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry N King M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY N KING M.D. (NPI 1669476396) is an individual vascular & interventional radiology provider in Albuquerque, New Mexico, licensed in New Mexico (80-52) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1669476396
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameJERRY N KINGCredential: M.D.
Location Address4411 THE 25 WAY NE, STE 150Albuquerque, NM 87109-5888
Mailing Address4411 The 25 Way Ne, Ste 150Albuquerque, NM 87109-5888 · (505) 332-6900 · Fax (505) 332-6921
Phone(505) 332-6900
Fax(505) 332-6921
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateMarch 12, 2014
✔ NPI 1669476396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in NM · 80-52
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
4411 THE 25 WAY NE, Albuquerque, NM 87109
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Other Identifiers 10

Medicaid45138NM
Medicaid52713NM
Other600521002NM · Medicare Idtf
Other700521102NM · Medicare Group
Other800521126NM · Medicare Idtf
Medicare PIN$$$$$$$$$MNM
Other2258272NM · Medicare Group
Medicare UPIND05794NM
Medicaid9035NM
MedicaidL0634NM

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA LYNN MORGAN NP
Nurse Practitioner (Psychiatric/Mental Health)
4411 THE 25 WAY NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 816-3994
DR. LUIS CENTENERA MD
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109
Bernalillo County (505) 332-5800
SHANNON G STARR LMSW
Social Worker
4411 THE 25 WAY NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 702-9970
GLENN S. ROUSH M.D.
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 332-6921
DR. JUAN CARLOS MENA MD
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109
Bernalillo County (505) 332-6900
KATHLEEN MARIE LOPEZ MD
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109
Bernalillo County (505) 332-6900
DR. RENEE J BUTLER-LEWIS M.D.
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, STE 150
ALBUQUERQUE, NM 87109
Bernalillo County (505) 332-6900
DANIEL A FUENTES-BERNARDO MD
Radiology (Diagnostic Radiology)
4411 THE 25 WAY NE, SUITE 150
ALBUQUERQUE, NM 87109
Bernalillo County (505) 332-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry King's NPI number?

The NPI number for Jerry King is 1669476396. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Jerry King located?

Jerry King practices at 4411 The 25 Way NE Ste 150, Albuquerque, NM 87109. The listed phone number is (505) 332-6900.

What is Jerry King's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Jerry King was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.