Individual provider Active NPI

Timir Kumar Paul, MD

  • Cardiovascular Disease Physician
  • Johnson City, TN
National Provider Identifier
1336337195
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD 48740 Issued in TN
Practice address
329 N State of Franklin Rd
Johnson City, TN 37604-6062
Phone
(423) 979-4100
Fax
(423) 979-4134
NPI assigned
Oct 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD 48740 TN Primary

Addresses

Primary practice location

329 N State of Franklin Rd
Johnson City, TN 37604-6062

Mailing address

4230 Harding Pike
Ste 330
Nashville, TN 37205-2018
Phone (615) 269-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120709000401 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7012172521 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 222-6977

4230 Harding Pike
Nashville, TN 37205-2018

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Southern Tennessee Regional Health System Pulaski Hospital, Pulaski, TN, CCN 440020
  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 48740TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Parkway Cardiology Associates P C Cardiovascular Disease Current Accepting new patients
Medical Education Assistance Corporation Cardiovascular Disease CurrentSince Oct 1, 2012 Accepting new patients
Methodist Medical Center CurrentSince Jul 12, 2012 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jul 1, 2021 Accepting new patients

Locations

329 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 439-7280

222 E Main St
Johnson City, TN 37604
Phone (423) 433-6200

400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200

4230 Harding Pike
Ste 330
Nashville, TN 37205
Phone (800) 345-5016

300 20th Ave N
Fl 9
Nashville, TN 37203

80 Vermont Ave
Oak Ridge, TN 37830
Phone (423) 482-4078

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

215 S Cedar Ln
Pulaski, TN 38478
Phone (931) 363-2511

Interoperability endpoints

  • Direct secure messaging: timir.paul.1@7654.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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1336337195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE",
            "address_2": "STE 330",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052018",
            "telephone_number": "615-269-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N STATE OF FRANKLIN RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046062",
            "telephone_number": "423-979-4100",
            "fax_number": "423-979-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "TIMIR",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD 48740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.