Individual provider Active NPI

Timothy C Abbott, D.O.

  • Anesthesiology Physician
  • Northampton, MA
National Provider Identifier
1316155294
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
243428 Issued in MA
Practice address
30 Locust St
Northampton, MA 01060-2052
Phone
(413) 586-8866
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 243428 MA Primary

Addresses

Primary practice location

30 Locust St
Northampton, MA 01060-2052

Mailing address

PO Box 3024
Plattsburgh, NY 12901-0298
Phone (518) 561-1603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101007000752 MA Practitioner - Anesthesiology 1254523343 Reassigns benefits to 1 organization
I20250214001827 WV Practitioner - Anesthesiology 1254523343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2898

Hospital & facility affiliations

  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243428MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Nov 5, 2024 Accepting new patients
Camc Greenbrier Valley Medical Center Inc Anesthesiology CurrentSince Nov 5, 2024 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Mar 1, 2020 Accepting new patients
Pioneer Valley Anesthesia, LLC Anesthesiology CurrentSince Jan 1, 2012 Accepting new patients

Locations

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

1521 Maplewood Ave
Ronceverte, WV 24970

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

Organizations & group practices 4

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 2

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1316155294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3024",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129010298",
            "telephone_number": "518-561-1603",
            "fax_number": "518-561-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602052",
            "telephone_number": "413-586-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "243428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.