DR. PAUL ANTHONY KING MD
NPI 1952376881
Internal Medicine in Norfolk, VA

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
830 KEMPSVILLE RD FL 1, NORFOLK, VA 23502(757) 261-8070(757) 995-7095 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul Anthony King Md NPPES

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

DR. PAUL ANTHONY KING MD (NPI 1952376881) is an individual internal medicine provider in Norfolk, Virginia, licensed in Virginia (0101232736) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Leigh Hospital, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1952376881
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL ANTHONY KINGCredential: MD
Location Address830 KEMPSVILLE RD FL 1Norfolk, VA 23502-3920
Mailing Address830 Kempsville Rd Fl 1Norfolk, VA 23502-3920 · (757) 261-8070 · Fax (757) 995-7095
Fax(757) 995-7095
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2000
Enumeration DateFebruary 22, 2006
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
NPI 1952376881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101232736
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 0101232736 (VA)
830 KEMPSVILLE RD FL 1, Norfolk, VA 23502

Secondary Practice Location 1

Location 1825 Fairfax Ave, Suite 445Norfolk, VA 23507-1914 · Phone (757) 446-8920 · Fax (757) 446-5242

Other Identifiers 15

Medicaid010003814VA
OtherPARVA · Usa Managed Care
Other74294VA · Sentara Optima
Medicaid89066M0NC
Other289611VA · Anthem
OtherPARVA · First Health Commercial/southern Health/coventry
Other-028VA · Tricare/champus
OtherBC/BSNC · 066m0
Other2115972VA · Uhc/mamsi
OtherPARVA · Aetna
OtherPARVA · Virginia Premier Health
OtherPARVA · Corvel/corcare
OtherPARVA · Multiplan
OtherPARVA · Virginia Health Network
OtherPARVA · Cigna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Anthony King Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375533789
PECOS Enrollment IDI20040517001202
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
225 services133 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
190 services82 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
66 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier22 claims22 services$13.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers33 claims33 services$64.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Internal Medicine
830 KEMPSVILLE RD FL 1
NORFOLK, VA 23502
Family Medicine
830 KEMPSVILLE RD FL 1
NORFOLK, VA 23502
Physician Assistant
830 KEMPSVILLE RD FL 1
NORFOLK, VA 23502
Nurse Practitioner (Family)
830 KEMPSVILLE RD FL 1
NORFOLK, VA 23502
Internal Medicine
830 KEMPSVILLE RD FL 1
NORFOLK, VA 23502
Hospitalist
830 KEMPSVILLE RD FL 1
NORFOLK, VA 23502
Internal Medicine
830 KEMPSVILLE RD FL 1
NORFOLK, VA 23502
Hospitalist
830 KEMPSVILLE RD FL 1
NORFOLK, VA 23502

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 Paul King's NPI number?

The NPI number for Paul King is 1952376881. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Paul King located?

Paul King practices at 830 Kempsville Rd Fl 1, Norfolk, VA 23502. The listed phone number is (757) 261-8070.

What is Paul King's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul King enrolled in Medicare?

Yes. Paul King is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Paul King affiliated with any hospitals?

According to CMS data, Paul King is affiliated with Sentara Leigh Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Paul King was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.