NPIMap

Individual provider Active NPI

Timothy Stewart Spaulding, MD

  • Obstetrics & Gynecology Physician
  • La Grange, KY
National Provider Identifier
1306882022
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25275 Issued in KY
Practice address
1023 New Moody LN
Suite 103
La Grange, KY 40031-9177
Phone
(502) 222-5558
Fax
(502) 222-3040
NPI assigned
Jun 21, 2006
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25275 KY
Obstetrics & Gynecology Physician 207V00000X 25275 KY Primary

Addresses

Primary practice location

1023 New Moody LN
Suite 103
La Grange, KY 40031-9177

Mailing address

2700 Stanley Gault Pkwy
Suite 129
Louisville, KY 40223-5132
Phone (502) 253-4917

Other identifiers 1

IdentifierTypeStateIssuer
64252752MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tspaulding8881@bhkydirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000554 KY Practitioner - Obstetrics/Gynecology 0345220059 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1023 New Moody LN
La Grange, KY 40031-9179

2400 Eastpoint Pkwy
Louisville, KY 40223-4154

3900 Kresge Way
Louisville, KY 40207-4681

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology CurrentSince Mar 31, 2023 Accepting new patients
Baptist Health Medical Group Inc Obstetrics & Gynecology CurrentSince Mar 15, 2017 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 31, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 15, 2017 Accepting new patients
Baptist Healthcare System, Inc. Past Accepting new patients

Locations

1023 New Moody Ln
Ste 103
Lagrange, KY 40031
Phone (502) 222-5558

12615 Taylorsville Rd
Ste C
Louisville, KY 40299
Phone (502) 629-2030

2355 Poplar Level Rd
Ste 304
Louisville, KY 40217
Phone (502) 629-5455

2400 Eastpoint Pkwy
Ste 103
Louisville, KY 40223
Phone (502) 245-4644

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

4420 Dixie Hwy
Ste 128
Louisville, KY 40216
Phone (502) 449-6400

5601 S 3rd St
Fl 2
Louisville, KY 40214
Phone (502) 629-1515

601 S Floyd St
Ste 500
Louisville, KY 40202
Phone (502) 458-6089

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

850 S 28th St
Ste 104
Louisville, KY 40211
Phone (502) 394-5678

300 High Point Ct
Ste B
Mt Washington, KY 40047
Phone (502) 955-6129

Interoperability endpoints

  • Direct secure messaging: tspaulding419343@direct.stlukeshealth.org
  • Direct secure messaging: tspaulding8881@bhkydirect.com

Organizations & group practices 8

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1306882022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY",
            "address_2": "SUITE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235132",
            "telephone_number": "502-253-4917",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 NEW MOODY LN",
            "address_2": "SUITE 103",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319177",
            "telephone_number": "502-222-5558",
            "fax_number": "502-222-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "TIMOTHY",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "25275",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "25275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64252752",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tspaulding8881@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1023 New Moody Ln",
            "address_2": "Suite 103",
            "city": "La Grange",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400319177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.