Individual provider Active NPI

Timothy J Hall, MD

  • Anesthesiology Physician
  • Dover, NH
National Provider Identifier
1083783740
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35194 Issued in NH
Practice address
789 Central Ave
Dover, NH 03820-2526
Phone
(603) 609-6819
NPI assigned
Nov 7, 2006
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35194 NH Primary
Anesthesiology Physician 207L00000X EC-06-1057 ME
Anesthesiology Physician 207L00000X 018378 ME

Addresses

Primary practice location

789 Central Ave
Dover, NH 03820-2526

Mailing address

15 Hospital Dr
York, ME 03909-1011
Phone (207) 351-2400

Other practice location 1

15 Hospital Dr
York, ME 03909-1011
Phone (207) 351-2400

Other identifiers 1

IdentifierTypeStateIssuer
3078564MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 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
I20101019001380 ME Practitioner - Anesthesiology 6709079023 Reassigns benefits to 1 organization
I20250805002676 NH Practitioner - Anesthesiology 6709079023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2421

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018378MEMDAnesthesiology Physician
EC-06-1057MEMDAnesthesiology Physician
35194NHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Pathology Inc Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Sep 8, 2025 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Sep 8, 2025 Accepting new patients
York Hospital CurrentSince Aug 30, 2010 Accepting new patients

Locations

112 Sanford Rd
Wells, ME 04090
Phone (207) 641-8100

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

158 Route 108
Ste 100
Somersworth, NH 03878
Phone (603) 609-6189

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 3

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1083783740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-2400",
            "fax_number": "207-351-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-609-6819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "ME",
            "postal_code": "039091011",
            "country_code": "US",
            "telephone_number": "207-351-2400",
            "fax_number": "207-351-2193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NH",
            "license": "35194",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "EC-06-1057",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "018378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078564",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.