Individual provider Active NPI

Timothy James Monahan, D.P.M.

  • Podiatrist
  • Chestertown, MD
National Provider Identifier
1225008691
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01227 Issued in MD
Practice address
970 Washington Ave
Chestertown, MD 21620-3322
Phone
(410) 778-1801
Fax
(410) 758-3249
NPI assigned
Jan 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01227 MD Primary

Addresses

Primary practice location

970 Washington Ave
Chestertown, MD 21620-3322

Mailing address

970 Washington Ave
Chestertown, MD 21620-3322
Phone (410) 778-1801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000432 MD Practitioner - Podiatry 4486751476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Family Footcare LLCGroup PAC ID 4587760053, 2 clinicians

Practice addresses (Care Compare)

510 S 5TH St
Denton, MD 21629-1368
Phone (410) 819-0096

560 Riverside Dr
Suite A101
Salisbury, MD 21801-4702
Phone (410) 749-0121

6412 Church Hill Rd
Chestertown, MD 21620-2386
Phone (410) 778-1801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of nail tissue2221
Removal or shaving of skin growth613
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Family Foot Care, LLC Podiatrist CurrentSince Mar 1, 2002 Accepting new patients
Eastern Shore Family Foot Care, LLC Past Accepting new patients

Locations

9 Chester Plz
Chester, MD 21619
Phone (410) 417-7709

6412 Church Hill Rd
Chestertown, MD 21620
Phone (410) 778-1801

970 Washington Ave
Chestertown, MD 21620
Phone (410) 778-1801

510 S 5th Ave
Denton, MD 21629
Phone (410) 479-2450

Interoperability endpoints

  • Direct secure messaging: drtimmonahan@esffcl-md.direct.office.nextgen.com
  • Direct secure messaging: tmonahan483360@direct.umm.edu

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 4

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225008691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 WASHINGTON AVE",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216203322",
            "telephone_number": "410-778-1801",
            "fax_number": "410-758-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 WASHINGTON AVE",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216203322",
            "telephone_number": "410-778-1801",
            "fax_number": "410-758-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.