Individual provider Active NPI

Timothy Patrick Hutti, D.C.

  • Chiropractor
  • Charleston, IL
National Provider Identifier
1184819591
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
655 W Lincoln Ave
Suite 2
Charleston, IL 61920-2426
Phone
(217) 348-1450
Fax
(217) 348-1451
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

655 W Lincoln Ave
Suite 2
Charleston, IL 61920-2426

Mailing address

655 W Lincoln Ave
Suite 2
Charleston, IL 61920-2426
Phone (217) 348-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000021 IL Practitioner - Chiropractic 4789764440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen L. Hutti and Mark E. Hutti PTRGroup PAC ID 2466532197, 3 clinicians

Practice addresses (Care Compare)

655 W Lincoln Ave
Suite 2
Charleston, IL 61920-2461
Phone (217) 348-1450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen L. Hutti & Mark E. Hutti PTR Chiropractor CurrentSince Aug 21, 2007 Accepting new patients

Locations

655 W Lincoln Ave
Ste 2
Charleston, IL 61920
Phone (217) 348-1450

Organizations & group practices 1

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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1184819591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W LINCOLN AVE",
            "address_2": "SUITE 2",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202426",
            "telephone_number": "217-348-1450",
            "fax_number": "217-348-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W LINCOLN AVE",
            "address_2": "SUITE 2",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202426",
            "telephone_number": "217-348-1450",
            "fax_number": "217-348-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTI",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.