Individual provider Active NPI

Timothy L Gess, M.D.

  • Ophthalmology Physician
  • Alexandria, MN
National Provider Identifier
1083708671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20870 Issued in MN
Practice address
1501 Hawthorne St
Alexandria, MN 56308
Phone
(320) 762-2166
Fax
(320) 762-8898
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20870 MN Primary

Addresses

Primary practice location

1501 Hawthorne St
Alexandria, MN 56308

Mailing address

1501 Hawthorne St
Alexandria, MN 56308
Phone (320) 762-2166

Other identifiers 3

IdentifierTypeStateIssuer
0829344OtherMNMEDICA
1000172OtherMNPREFERRED ONE
61164GEOtherMNBC/BS OF MN

Other names 1

  • Timothy L Gess Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20070530000286 MN Practitioner - Ophthalmology 4789781675 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20870MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Eye Clinic P.a. CurrentSince Apr 30, 2003 Accepting new patients
Vance Thompson Vision Surgery Center Alexandria, LLC Past Accepting new patients

Locations

2600 Jefferson St
Ste 200
Alexandria, MN 56308
Phone (320) 335-0953

1501 Hawthorne St
Alexandria, MN 56308
Phone (320) 355-0953

3101 W 57th St
Sioux Falls, SD 57108
Phone (605) 361-3937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083708671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 HAWTHORNE ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-762-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HAWTHORNE ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-762-2166",
            "fax_number": "320-762-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESS",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "20870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0829344",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1000172",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MN",
            "identifier": "61164GE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "GESS",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.