Individual provider Active NPI

Timothy C Talbert, M.D.

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1356338776
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0423284 Issued in KS
Practice address
11725 W 112TH St
Overland Park, KS 66210-2761
Phone
(913) 469-5579
Fax
(913) 338-1311
NPI assigned
Sep 30, 2005
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0423284 KS Primary

Addresses

Primary practice location

11725 W 112TH St
Overland Park, KS 66210-2761

Mailing address

PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy.talbert@cpfc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20040922000593 KS Practitioner - Family PracticePractitioner - Emergency Medicine 4688642150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians

Practice addresses (Care Compare)

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000

10600 Mastin St
Overland Park, KS 66212-5723

11725 W 112TH St
Overland Park, KS 66210-2761
Phone (913) 469-5452

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0423284KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Surgical Specialties LLC Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
College Park Family Care Center, P.a. Past Accepting new patients
College Park Family Care Center, P.a. Past Accepting new patients

Locations

10500 Quivira Rd
Ste 130
Overland Park, KS 66215
Phone (913) 956-4200

11725 W 112th St
Ste 101
Overland Park, KS 66210

11725 W 112th St
Overland Park, KS 66210
Phone (913) 469-5452

11755 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 469-0503

10100 W 119th St
Ste 150
Overland Park, KS 66213
Phone (913) 469-8878

10600 Mastin St
Ste C
Overland Park, KS 66212
Phone (913) 469-6447

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: timothy.talbert@hca2.eclinicaldirectplus.com

Organizations & group practices 3

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 4

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1356338776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741331",
            "telephone_number": "913-469-0503",
            "fax_number": "913-469-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102761",
            "telephone_number": "913-469-5579",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERT",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0423284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.talbert@cpfc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11725 W 112th St",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662102761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.