NPIMap

Individual provider Active NPI

Timothy Matthew Daly, D.O.

  • Family Medicine Physician
  • Souderton, PA
National Provider Identifier
1003074006
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015738 Issued in PA
Practice address
777 Route 113
Souderton, PA 18964-1000
Phone
(215) 723-3280
Fax
(215) 723-5503
NPI assigned
May 27, 2008
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS015738 PA Primary

Addresses

Primary practice location

777 Route 113
Souderton, PA 18964-1000

Mailing address

777 Route 113
Souderton, PA 18964-1000
Phone (215) 723-3280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000061 PA Practitioner - Family Practice 9931379070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Trivalley Primary Care PCGroup PAC ID 4981680923, 57 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

777 Route 113
Souderton, PA 18964-1000
Phone (215) 723-3280

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS015738PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trivalley Primary Care, PC Family Medicine CurrentSince Nov 6, 2023 Accepting new patients
Neighborhood Health Centers of the Lehigh Valley CurrentSince Jan 6, 2018 Accepting new patients
Neighborhood Health Centers of the Lehigh Valley Current Accepting new patients
Souderton Mennonite Homes Past Accepting new patients

Locations

160 Hamilton St
Allentown, PA 18101
Phone (610) 477-0105

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

218 N 2nd St
Allentown, PA 18102
Phone (484) 640-1200

1210 E 4th St
Bethlehem, PA 18015
Phone (484) 408-0755

635 E Broad St
Bethlehem, PA 18018
Phone (610) 820-7605

1101 Northampton St
Easton, PA 18042
Phone (484) 544-3113

519 S 5th St
Ste 130
Perkasie, PA 18944
Phone (215) 257-8601

777 Route 113
Souderton, PA 18964
Phone (215) 723-3280

777 Route 113
Ofc
Souderton, PA 18964
Phone (215) 723-3280

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21036/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGCGAD/Endpoint/IGCGAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA/Endpoint/JGDCBA
  • Direct secure messaging: timothy.daly@tvpc.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1003074006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 ROUTE 113",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641000",
            "telephone_number": "215-723-3280",
            "fax_number": "215-723-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ROUTE 113",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641000",
            "telephone_number": "215-723-3280",
            "fax_number": "215-723-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "TIMOTHY",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Souderton, PA

Sources for this page

Verify at the official NPI Registry.