Individual provider Active NPI

Timothy Paul Harris, D.O.

  • Surgery Physician
  • Emporia, KS
National Provider Identifier
1093775785
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0521008 Issued in KS
Practice address
1301 W 12TH Ave Ste 301
Emporia, KS 66801-2590
Phone
(620) 343-2376
Fax
(620) 342-0087
NPI assigned
Mar 25, 2006
Last updated
May 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0521008 KS Primary

Addresses

Primary practice location

1301 W 12TH Ave Ste 301
Emporia, KS 66801-2590

Mailing address

1201 W 12TH Ave
Emporia, KS 66801-2504
Phone (620) 343-6800

Other identifiers 2

IdentifierTypeStateIssuer
020015054OtherRAILROAD MEDICARE
100231930AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20090818000565 KS Practitioner - General Surgery 8224945233 Reassigns benefits to 2 organizations
I20251112002406 MO Practitioner - General Surgery 8224945233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newman Memorial County HospitalGroup PAC ID 5193638526, 61 clinicians
Lake Regional Health SystemGroup PAC ID 9133026776, 132 clinicians

Practice addresses (Care Compare)

1201 W 12TH Ave
Emporia, KS 66801-2504
Phone (620) 343-6800

1301 W 12TH Ave
Emporia, KS 66801-2590

1301 W 12TH Ave 301 and
205 NRH Medical Partners Primary Care
Emporia, KS 66801-2590
Phone (620) 343-2376

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75.61 of 100Reported as group
Quality
63.73
Promoting interoperability
75
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue58
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0521008KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Regional Health System Current Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Lake Regional Health System CurrentSince Dec 5, 2025 Accepting new patients
Newman Memorial County Hospital Surgery CurrentSince Jan 28, 2019 Accepting new patients
Lake Regional Health System CurrentSince Dec 5, 2025 Accepting new patients
Ukhs Great Bend, LLC Surgery CurrentSince May 1, 2024 Accepting new patients
Timothy P Harris, DO Surgery Past Accepting new patients
Emporia Surgical Hospital, LLC PastSince Jan 2, 1991 Accepting new patients

Locations

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

1301 W 12th Ave
Ste 105
Emporia, KS 66801
Phone (620) 340-6181

1301 W 12th Ave
Ste 207
Emporia, KS 66801
Phone (620) 342-4278

1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376

514 Cleveland St
Great Bend, KS 67530
Phone (620) 659-2890

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

Interoperability endpoints

  • Direct secure messaging: tharris734566@direct.kuha.org
  • Direct secure messaging: timothy.harris@newmanrhdirect.org

Organizations & group practices 9

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 4

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1093775785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012504",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE STE 301",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012590",
            "telephone_number": "620-343-2376",
            "fax_number": "620-342-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TIMOTHY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0521008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020015054",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231930A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.