Individual provider Active NPI

Adin Lim Timbayan, MD

  • General Practice Physician
  • Montgomery, WV
National Provider Identifier
1124070149
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11489 Issued in WV
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0128102000MedicaidWV

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

OrganizationSpecialtyStatusNew patients
Adin L Timbayan MD Inc General Practice PastSince Feb 5, 2007 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.

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.

Verify at the official NPI Registry.