Individual provider Active NPI

Timothy Gaul

  • Family Medicine Physician
  • McKeesport, PA
National Provider Identifier
1225001886
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006096E Issued in PA
Practice address
2347 5TH Ave
McKeesport, PA 15132-1126
Phone
(412) 673-5504
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 OS006096E PA Primary

Addresses

Primary practice location

2347 5TH Ave
McKeesport, PA 15132-1126

Mailing address

2 Hot Metal St
Quantum One Suite 001
Pittsburgh, PA 15203-2348

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy.p.gaul@upmcdirect.com UPMC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108001252 PA Practitioner - Family Practice 1951596683 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006096EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc Family Medicine CurrentSince Jan 1, 2002 Accepting new patients
Upmc Community Medcine Inc Family Medicine CurrentSince Jan 1, 2002 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Community Medicine Inc Family Medicine Past Accepting new patients

Locations

6530 State Route 22
Ste 200
Delmont, PA 15626
Phone (724) 468-5500

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2347 5th Ave
McKeesport, PA 15132
Phone (412) 673-5009

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

2 Hot Metal St
Ste 1
Pittsburgh, PA 15203

Organizations & group practices 5

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1225001886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE SUITE 001",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 5TH AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151321126",
            "telephone_number": "412-673-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUL",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006096E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.p.gaul@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

Verify at the official NPI Registry.