Timothy Vincent Siepel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

114398-1 Issued in NY

Practice address

8912 Hebdon Rd
West Valley, NY 14171-9741

Phone

(716) 942-3219

Fax

(716) 942-3977

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

State University of New York at Buffalo School of Medicine, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bertrand Chaffee Hospital Hospital, Springville, NY, CCN 330111

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: timothy.siepel@506062830043140.direct.elationemr.com

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

• Tim Siepel MD P.C.

  • Family Medicine Physician
  • West Valley, NY
  • NPI 1073613014
  Medicare reassignment Authorized official
• Service Medical

  • Physician Assistant
  • Springville, NY
  • NPI 1710068325
  NPD Authorized official

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

• Bertrand Chaffee Hospital

  • General Acute Care Hospital
  • Springville, NY
  • NPI 1275553521
  Care Compare affiliation

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1053348599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 HEBDON RD",
            "city": "WEST VALLEY",
            "state": "NY",
            "postal_code": "141719741",
            "telephone_number": "716-942-3219",
            "fax_number": "716-942-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8912 HEBDON RD",
            "city": "WEST VALLEY",
            "state": "NY",
            "postal_code": "141719741",
            "telephone_number": "716-942-3219",
            "fax_number": "716-942-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEPEL",
        "first_name": "TIMOTHY",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "114398-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "161253463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Green
• Jessica Lamphier, M.S., CCC-SLP
• Janet Lee Ottaviano, RN
• Theodore Ring
• Erika Lynn Seltzer
• Tim Siepel MD P.C.
• West Valley Central School
• West Valley Volunteer Hose Company Inc.
• Denise Worner, LPN

• Family Medicine Physician in West Valley, NY
• Providers in West Valley, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.