Individual provider Active NPI

Timothy J Williams, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1336101062
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
01062366A Issued in IN
Practice address
969 Hosbrook St
Indianapolis, IN 46203-1011
Phone
(614) 205-3005
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 01062366A IN Primary

Addresses

Primary practice location

969 Hosbrook St
Indianapolis, IN 46203-1011

Mailing address

969 Hosbrook St
Indianapolis, IN 46203-1011
Phone (614) 205-3005

Other identifiers 1

IdentifierTypeStateIssuer
200847410MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address twilliams7555@Direct.FranciscanAlliance.org Direct
Direct Messaging Address twilliams7555@Direct.FranciscanAlliance.org Direct
Direct Messaging Address twilliams7555@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20061212000198 IN Practitioner - Orthopedic Surgery 6507839263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Joint Replacement InstituteGroup PAC ID 8123400058, 25 clinicians
Union Associated Physicians Clinic, LLCGroup PAC ID 3375687437, 230 clinicians

Practice addresses (Care Compare)

14065 Westinghouse Dr
Indiana Joint Replacement
Noblesville, IN 46060-9448
Phone (317) 620-0232

1421 N 7TH St
Wabash Valley Surgery Center
Terre Haute, IN 47807-1005
Phone (812) 232-7192

1725 N 5TH St
Apands Clinic Bone and Joint Center
Terre Haute, IN 47804-4010
Phone (812) 242-3005

221 S 6 TH St
Apands Clinic Downtown
Terre Haute, IN 47807-4214
Phone (812) 232-0564

221 S 6TH St
Terre Haute, IN 47807-4214

747 E County Line Rd
Suite J
Greenwood, IN 46143-1082
Phone (317) 620-0232

9460 E 146TH St
Noblesville, IN 46060-4966
Phone (317) 620-0232

Hospital & facility affiliations

  • Best Choice Home Care Home health agency, Indianapolis, IN, CCN 157560
  • Ascension St Vincent Fishers Hospital, Fishers, IN, CCN 150181
  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221026MAMDSocial Worker
01062366AINMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Oct 1, 2024 Accepting new patients
Indiana Joint Replacement Institute CurrentSince Mar 27, 2024 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Oct 1, 2024 Accepting new patients
Indiana Joint Replacement Institute CurrentSince Mar 27, 2024 Accepting new patients
Major Hospital Past Accepting new patients
NPI 1861410300 Adult Reconstructive Orthopaedic Surgery Past Accepting new patients

Locations

1199 Hadley Rd
Mooresville, IN 46158
Phone (317) 831-2273

14065 Westinghouse Dr
Noblesville, IN 46060
Phone (317) 620-0232

9460 E 146th St
Noblesville, IN 46060
Phone (317) 583-3741

1725 N 5th St
Terre Haute, IN 47804
Phone (812) 232-6646

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

Interoperability endpoints

  • Direct secure messaging: twilliams7555@direct.franciscanalliance.org
  • Direct secure messaging: timothy.williams.1@22724.direct.athenahealth.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 3

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1336101062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 HOSBROOK ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031011",
            "telephone_number": "614-205-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 HOSBROOK ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031011",
            "telephone_number": "614-205-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IN",
            "license": "01062366A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200847410",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twilliams7555@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4035 Mimosa Dr",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472017200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twilliams7555@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1703 W Stones Crossing Rd Ste 210",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461438558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twilliams7555@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1199 Hadley Rd",
            "city": "Mooresville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461581788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.