NPIMap

Individual provider Active NPI

Timothy Hipskind

  • Internal Medicine Physician
  • Granite City, IL
National Provider Identifier
1265439640
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036072290 Issued in IL
Practice address
2100 Madison Ave
Granite City, IL 62040-4701
Phone
(618) 798-3000
Fax
(618) 798-3000
NPI assigned
Jun 30, 2005
Last updated
Aug 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036072290 IL Primary

Addresses

Primary practice location

2100 Madison Ave
Granite City, IL 62040-4701

Mailing address

2100 Madison Ave
Granite City, IL 62040-4701
Phone (618) 798-3000

Other identifiers 1

IdentifierTypeStateIssuer
036072290MedicaidIL

Other names 1

  • Timothy Hipskind Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050513000790 IL Practitioner - Internal Medicine 8022059591 Reassigns benefits to 5 organizations
I20090805000420 MO Practitioner - Internal MedicinePractitioner - Emergency Medicine 8022059591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians
Ahs Il Medical Group LLCGroup PAC ID 5496111676, 46 clinicians
Trinity Medical Staffing LLCGroup PAC ID 1759712698, 35 clinicians

Practice addresses (Care Compare)

1300 E Tremont St
Suite 300
Hillsboro, IL 62049-1913
Phone (248) 660-1220

13138
Suite 13
Coulterville, IL 62237
Phone (618) 758-2256

2100 Madison Ave
Granite City, IL 62040-4713
Phone (618) 798-3000

8 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone (618) 244-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036072290ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC Internal Medicine CurrentSince Jul 14, 2025 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Nov 7, 2024 Accepting new patients
Ahs Il Medical Group LLC CurrentSince Oct 8, 2023 Accepting new patients
Granite City Hospitalist Services LLC CurrentSince Sep 16, 2016 Accepting new patients
Trinity Medical Staffing LLC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Butler Physician Services, LLC Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Granite City Clinic Corp Past Accepting new patients
Healthcare Physicians of Southern Illinois, PC Internal Medicine Past Accepting new patients
Major Hospital Past Accepting new patients
HSHS Holy Family Hospital Inc Past Accepting new patients
Coulterville Rehabilitation & Health Care Center, LLC Past Accepting new patients
Granite City Physicians Corp Past Accepting new patients
Poplar Bluff Hma Physician Management, LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

13138 State Route 13
Coulterville, IL 62237
Phone (618) 758-2256

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

2044 Madison Ave
Ste 27
Granite City, IL 62040
Phone (618) 451-0700

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

1300 E Tremont St
Ste 300
Hillsboro, IL 62049

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

Interoperability endpoints

  • Direct secure messaging: hipskint@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coulterville Rehab & HCCCoulterville, IL, CCN 145993 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
May 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 10

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1265439640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404701",
            "telephone_number": "618-798-3000",
            "fax_number": "618-798-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404701",
            "telephone_number": "618-798-3000",
            "fax_number": "618-798-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPSKIND",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036072290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072290",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "HIPSKIND",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Granite City, IL

Sources for this page

Verify at the official NPI Registry.