Active NPI
John A. Timmons, M.D.
- Emergency Medicine Physician
- Watseka, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-070729
- Practice address
- 200 E Fairman Ave
Watseka, IL 60970-1644 - Phone
- (630) 321-8300
- Fax
- (630) 321-8750
- NPI assigned
- Aug 31, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-070729 | IL | Primary |
Addresses
Primary practice location
200 E Fairman Ave
Watseka, IL 60970-1644
Mailing address
810 Quail Ridge Dr
Westmont, IL 60559-6142
Phone (630) 321-8300
Other practice location 1
530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-070729 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.timmons@perry.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Rush Medical College of Rush University, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 E Orange St
Hoopeston, IL 60942-1801
Phone (708) 393-7537
Hospital & facility affiliations
- Carle Hoopeston Regional Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-070729 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iroquois Memorial Hospital and Resident Home | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| Hoopeston Emergency Medicine Specialists, LTD. | Emergency Medicine | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Greater Elgin Emergency Specialists LTD | Emergency Medicine | Past | Accepting new patients |
Locations
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201
Interoperability endpoints
- john.timmons@perry.cernerdirect.com
- jtimmonsmd154789@carlehiedirect.net
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Hoopeston, IL
- NPI 1316965197
Emergency Medicine, IL
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
Emergency Medicine, IL
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1134152366
Emergency Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1245224641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 QUAIL RIDGE DR",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596142",
"telephone_number": "630-321-8300",
"fax_number": "630-321-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E FAIRMAN AVE",
"city": "WATSEKA",
"state": "IL",
"postal_code": "609701644",
"telephone_number": "630-321-8300",
"fax_number": "630-321-8750"
}
],
"practiceLocations": [
{
"address_1": "530 Park Ave E",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "IL",
"postal_code": "61356",
"country_code": "US",
"telephone_number": "815-875-2811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIMMONS",
"first_name": "JOHN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-070729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-070729",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.timmons@perry.cernerdirect.com",
"affiliation": "N",
"address_1": "530 Park Ave E",
"city": "Princeton",
"state": "IL",
"country_code": "US",
"postal_code": "61356",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Watseka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.