Individual provider Active NPI

Timothy S. Siegel, M.D.

  • Urology Physician
  • Richmond, IN
National Provider Identifier
1053392720
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01057715A Issued in IN
Practice address
1050 Reid Pkwy Ste 325
Urological Care
Richmond, IN 47374-1161
Phone
(765) 962-8551
Fax
(765) 962-2591
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01057715A IN Primary

Addresses

Primary practice location

1050 Reid Pkwy Ste 325
Urological Care
Richmond, IN 47374-1161

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 962-8551

Other identifiers 2

IdentifierTypeStateIssuer
000000683465OtherINANTHEM
200443830MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsiegel301316@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070702000421 IN Practitioner - Urology 2668572751 Reassigns benefits to 1 organization
I20150107001855 OH Practitioner - Urology 2668572751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Wright State University Boonshoft School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1050 Reid Pkwy
Suite 325
Richmond, IN 47374-1161
Phone (765) 962-8551

1100 Reid Pkwy
Richmond, IN 47374-1157

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince Aug 1, 2010 Accepting new patients
Reid Physician Associates, Inc CurrentSince Aug 1, 2010 Accepting new patients
Reid Hospital & Health Care Services Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1050 Reid Pkwy
Ste 325
Richmond, IN 47374
Phone (765) 935-8905

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1485 Chester Blvd
Richmond, IN 47374
Phone (765) 962-8551

550 Hallmark Dr
Eaton, OH 45320
Phone (937) 456-1195

Interoperability endpoints

  • Direct secure messaging: tsiegel301316@reidhealth.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1053392720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-962-8551",
            "fax_number": "765-962-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REID PKWY STE 325",
            "address_2": "UROLOGICAL CARE",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741161",
            "telephone_number": "765-962-8551",
            "fax_number": "765-962-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "TIMOTHY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01057715A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000683465",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200443830",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsiegel301316@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1050 Reid Pkwy Ste 325",
            "address_2": "Urological Care",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.