Active NPI
Timothy T Mims, MD
- Pain Medicine (Anesthesiology) Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 48908
- Practice address
- 2443 Sir Barton Way Ste 275
Lexington, KY 40509 - Phone
- (812) 962-7890
- Fax
- (812) 476-6162
- NPI assigned
- Jan 3, 2006
- Last updated
- Aug 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 231723 | NY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 48908 | KY | Primary |
Addresses
Primary practice location
2443 Sir Barton Way Ste 275
Lexington, KY 40509
Mailing address
7145 E Virginia St Ste 2000
Evansville, IN 47715-9147
Phone (812) 962-7890
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02566392 | Medicaid | NY | |
| 7100428760 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 Church St
Suite 101
Pikeville, KY 41501-3476
Phone (606) 260-8613
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.99 of 100
- Quality
- 81.97
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 77.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48908 | KY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Fpa Hospital Based | Past | Accepting new patients |
Interoperability endpoints
- timothy.mims.2@16521.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Commonwealth Pain and Spine
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
-
dba Mount Sinai Dermatopathology Services III
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
dba Icahn School of Medicine Pharmacy
- Specialty Pharmacy
- New York, NY
- NPI 1629410816
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1083692982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7145 E VIRGINIA ST STE 2000",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477159147",
"telephone_number": "812-962-7890",
"fax_number": "812-476-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2443 SIR BARTON WAY STE 275",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40509",
"telephone_number": "812-962-7890",
"fax_number": "812-476-6162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMS",
"first_name": "TIMOTHY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "231723",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "KY",
"license": "48908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02566392",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100428760",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.