NPIMap

Individual provider Active NPI

Timothy John Gill, M.D.

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1134568215
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT204860 Issued in PA
Practice address
410 N Krocks Rd
Allentown, PA 18106-9283
Phone
(888) 982-8594
NPI assigned
Jun 21, 2013
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT204860 PA Primary

Addresses

Primary practice location

410 N Krocks Rd
Allentown, PA 18106-9283

Mailing address

649 N Lewis Rd
Suite 220
Royersford, PA 19468-1234
Phone (610) 396-5163

Other practice location 1

649 N Lewis Rd
Suite 220
Royersford, PA 19468-1234
Phone (610) 396-5163

Other practice location 2

41 E Kings Hwy
Audubon, NJ 08106-1216
Phone (888) 982-8594

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170619001264 PA Practitioner - Family PracticePractitioner - Sports Medicine 6709154610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Drexel University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1555 Medical Dr
Pottstown, PA 19464-3224
Phone 6103267820610

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT204860PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Medical Specialists, Inc Family Medicine CurrentSince Mar 24, 2024 Accepting new patients
Stowe Medical Group CurrentSince Mar 24, 2024 Accepting new patients
Brookside Family Practice & Pediatrics Family Medicine Past Accepting new patients

Locations

1555 Medical Dr
Pottstown, PA 19464
Phone (610) 326-7820

1566 Medical Dr
Ste 104
Pottstown, PA 19464
Phone (484) 945-0075

Interoperability endpoints

  • Direct secure messaging: timothygill@pmsi.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1134568215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 N LEWIS RD",
            "address_2": "SUITE 220",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681234",
            "telephone_number": "610-396-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N KROCKS RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069283",
            "telephone_number": "888-982-8594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 N Lewis Rd",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Royersford",
            "state": "PA",
            "postal_code": "194681234",
            "country_code": "US",
            "telephone_number": "610-396-5163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 E Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Audubon",
            "state": "NJ",
            "postal_code": "081061216",
            "country_code": "US",
            "telephone_number": "888-982-8594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT204860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.