Active NPI
Timothy Byrnes
- Clinical Cardiac Electrophysiology Physician
- Poland, OH
National Provider Identifier
1295024552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 34.013044
- Practice address
- 715 E Western Reserve Rd
Poland, OH 44514-3358 - Phone
- (330) 726-3204
- Fax
- (330) 729-9316
- NPI assigned
- Apr 6, 2011
- 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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 34.013044 | OH | Primary |
Addresses
Primary practice location
715 E Western Reserve Rd
Poland, OH 44514-3358
Mailing address
715 E Western Reserve Rd FL 2
Poland, OH 44514-3358
Phone (330) 965-3363
Other practice location 1
1001 Belmont Ave
Youngstown, OH 44504-1003
Phone (330) 965-3363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0250308 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171206002492 | OH | Practitioner - Cardiac Electrophysiology | 0941433981 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Youngstown Specialty Care LLCMercy Health Physicians Youngstown, LLC
Practice addresses (Care Compare)
715 E Western Reserve Rd
FL 2
Poland, OH 44514-3358
Phone (330) 965-3363
Hospital & facility affiliations
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
- MH St Joseph Warren Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 41 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.013044 | OH | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown, LLC | Current | Accepting new patients | |
| Northeast Ohio Cardiovascular Specialists Inc. | Past | Accepting new patients |
Locations
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
1001 Belmont Ave
Youngstown, OH 44504
Phone (330) 747-1106
250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010
715 E Western Reserve Rd
Fl 2
Youngstown, OH 44514
Phone (330) 726-3204
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
715 E Western Reserve Rd
Youngstown, OH 44514
Phone (330) 726-3204
Interoperability endpoints
- tbyrnes733082@direct.bsmhealth.org
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.
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
OH
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1750920245
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
-
- Cardiovascular Disease Physician
- Akron, OH
- NPI 1538176136
Hospital & facility affiliations 5
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": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1295024552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 E WESTERN RESERVE RD FL 2",
"city": "POLAND",
"state": "OH",
"postal_code": "445143358",
"telephone_number": "330-965-3363",
"fax_number": "330-729-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 E WESTERN RESERVE RD",
"city": "POLAND",
"state": "OH",
"postal_code": "445143358",
"telephone_number": "330-726-3204",
"fax_number": "330-729-9316"
}
],
"practiceLocations": [
{
"address_1": "1001 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445041003",
"country_code": "US",
"telephone_number": "330-965-3363",
"fax_number": "330-759-3851",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYRNES",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "OH",
"license": "34.013044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0250308",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.