Active NPI
Timothy S Nelson, M.D.
- Emergency Medicine Physician
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101242440
- Practice address
- 736 Battlefield Blvd N
Emergency Department
Chesapeake, VA 23320-4941 - Phone
- (757) 312-6200
- Fax
- (757) 312-6181
- NPI assigned
- Jun 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD070350L | PA | |
| Emergency Medicine Physician | 207P00000X | 0101242440 | VA | Primary |
Addresses
Primary practice location
736 Battlefield Blvd N
Emergency Department
Chesapeake, VA 23320-4941
Mailing address
109 G Gainsborough Square
Box 723
Chesapeake, VA 23320
Phone (757) 490-9388
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00470490 | Other | VA | RR MEDICARE |
| 015337T83 | Other | VA | MEDICARE |
| 1205864675 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 490-9388
736 Battlefield N Blvd
Chesapeake, VA 23320-4941
Phone (757) 312-6200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.16 of 100
- Quality
- 88.62
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD070350L | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Emergency Medical Care, LTD. | Emergency Medicine | Current | Accepting new patients |
| Chesapeake Observation Medicine Specialists, P.C. | Emergency Medicine | Current | Accepting new patients |
| Tidewater Emergency Medical Care | Past | Accepting new patients | |
| Family Health Associates of Geisinger Lewistown Hospital | Past | Accepting new patients |
Locations
109 Gainsborough Sq
Ste G
Chesapeake, VA 23320
Phone (757) 490-9388
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Chesapeake, VA
- NPI 1881562353
-
dba Chesapeake Emergency Physicians
- Emergency Medicine Physician
- Chesapeake, VA
- NPI 1710991153
-
dba Chesapeake Emergency Physicians
- Physician Assistant
- Chesapeake, VA
- NPI 1295366201
-
- Family Medicine Physician
- Lewistown, PA
- NPI 1043265119
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chesapeake Regional Surgery Center at Virginia Beach
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
dba Chesapeake General Professional Pharmacy
- Pharmacy
- Chesapeake, VA
- NPI 1558466318
Hospital
-
dba Chesapeake General Hospital
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1205864675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 G GAINSBOROUGH SQUARE",
"address_2": "BOX 723",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320",
"telephone_number": "757-490-9388",
"fax_number": "757-490-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 BATTLEFIELD BLVD N",
"address_2": "EMERGENCY DEPARTMENT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204941",
"telephone_number": "757-312-6200",
"fax_number": "757-312-6181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "TIMOTHY",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2024-07-26",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD070350L",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101242440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00470490",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "015337T83",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205864675",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.