Individual provider Active NPI

Hilary H Timmis, M.D.

  • Otolaryngology Physician
  • Sandusky, OH
National Provider Identifier
1306866835
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35-076411 Issued in OH
Practice address
112 Independence Way
Suite 130
Sandusky, OH 44870-7248
Phone
(419) 483-4488
Fax
(419) 483-6276
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35-076411 OH Primary

Addresses

Primary practice location

112 Independence Way
Suite 130
Sandusky, OH 44870-7248

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112

Other identifiers 2

IdentifierTypeStateIssuer
2159293MedicaidOH
P00221211OtherOHMEDICARE RAILROAD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000045 OH Practitioner - Otolaryngology 6204738404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of North Carolina at Chapel Hill School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

2800 Hayes Ave
BLDG F
Sandusky, OH 44870-7256
Phone (419) 626-1331

Hospital & facility affiliations

  • Fisher-Titus Hospital Hospital, Norwalk, OH, CCN 360065
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Magruder Hospital Hospital, Port Clinton, OH, CCN 361314
  • Mercy Health - Tiffin Hospital Hospital, Tiffin, OH, CCN 360089

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-076411OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists, LLC CurrentSince Jul 1, 2005 Accepting new patients
Northern Ohio Medical Specialists LLC Otolaryngology CurrentSince Jul 1, 2005 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
Bellevue Professional Services, Inc. Past Accepting new patients

Locations

112 Independence Way
Ste 130
Clyde, OH 43410
Phone (419) 483-4488

278 Benedict Ave
Ste 900
Norwalk, OH 44857
Phone (419) 660-1895

2800 Hayes Ave
Bldg F
Sandusky, OH 44870
Phone (419) 626-1331

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: htimmis20834@nomshealthcare.direct-ci.com

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.

Hospital & facility affiliations 9

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1306866835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 INDEPENDENCE WAY",
            "address_2": "SUITE 130",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707248",
            "telephone_number": "419-483-4488",
            "fax_number": "419-483-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMIS",
        "first_name": "HILARY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35-076411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2159293",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00221211",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.