Active NPI
Adin Lim Timbayan, MD
- General Practice Physician
- Montgomery, WV
National Provider Identifier
1124070149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11489
- Practice address
- 411 Washington St
Montgomery, WV 25136 - Phone
- (304) 442-4204
- Fax
- (304) 442-4204
- NPI assigned
- May 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11489 | WV | Primary |
Addresses
Primary practice location
411 Washington St
Montgomery, WV 25136
Mailing address
411 Washington St
PO Box 299
Montgomery, WV 25136
Phone (304) 442-4204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0128102000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adin L Timbayan MD Inc | General Practice | Past | Accepting new patients |
| Emcare Physician Providers Inc. | Past | Accepting new patients | |
| Greenbrier Emergency Services, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Montgomery, WV
- NPI 1982615225
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124070149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 WASHINGTON ST",
"address_2": "PO BOX 299",
"city": "MONTGOMERY",
"state": "WV",
"postal_code": "25136",
"telephone_number": "304-442-4204",
"fax_number": "304-442-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 WASHINGTON ST",
"city": "MONTGOMERY",
"state": "WV",
"postal_code": "25136",
"telephone_number": "304-442-4204",
"fax_number": "304-442-4204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMBAYAN",
"first_name": "ADIN",
"middle_name": "LIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WV",
"license": "11489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0128102000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.