NPIMap

Individual provider Active NPI

Timothy Waters, DO

  • Hospitalist Physician
  • Albany, NY
National Provider Identifier
1083813885
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
279994 Issued in NY
Practice address
600 Northern Blvd
Albany, NY 12204-1004
Phone
(518) 471-3221
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2008035677 MO
Hospitalist Physician 208M00000X 279994 NY Primary

Addresses

Primary practice location

600 Northern Blvd
Albany, NY 12204-1004

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

Bldg 301 Andrews Ave
Fort Rucker, AL 36362-0001
Phone (915) 490-2307

Other practice location 2

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550

Other practice location 3

Bldg 301 Andrews Ave
Fort Rucker, AL 36362-0001
Phone (915) 490-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120829000254 AL Practitioner - Internal Medicine 9638326556 Reassigns benefits to 2 organizations
I20160107002485 NY Practitioner - Internal Medicine 9638326556 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8343

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008035677MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Saratoga Regional Medical , P.C Current Accepting new patients
Gloversville Physician Medicine Services PC Hospitalist CurrentSince Feb 8, 2016 Accepting new patients
Saratoga Hospital Current Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Southern Clinic PC Internal Medicine CurrentSince Sep 1, 2012 Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Apr 20, 2013 Accepting new patients
Healthcare Partners of Saratoga LTD CurrentSince Jun 16, 2018 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Jun 16, 2018 Accepting new patients
Saratoga Hospital CurrentSince Nov 4, 2017 Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Apr 20, 2013 Accepting new patients
Samaritan Hospital of Troy, New York Internal Medicine CurrentSince Oct 22, 2018 Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

201 Doctors Dr
Dothan, AL 36301
Phone (334) 794-6611

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

6 Medical Park Dr
Malta, NY 12020
Phone (518) 289-2020

2911 State Route 9
Ste 1
Malta, NY 12020
Phone (518) 363-8815

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

59C Myrtle St
Saratoga Springs, NY 12866
Phone (518) 587-1919

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1720
  • Direct secure messaging: twaters102587@albanymed.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083813885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041004",
            "telephone_number": "518-471-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bldg 301 Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Rucker",
            "state": "AL",
            "postal_code": "363620001",
            "country_code": "US",
            "telephone_number": "915-490-2307",
            "fax_number": "915-490-2307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Bldg 301 Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Rucker",
            "state": "AL",
            "postal_code": "363620001",
            "country_code": "US",
            "telephone_number": "915-490-2307",
            "fax_number": "915-490-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2008035677",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "279994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.