Individual provider Active NPI

Timothy Wade Casias, M.D.

  • Anesthesiology Physician
  • Middleton, WI
National Provider Identifier
1356579726
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
67450 Issued in WI
Practice address
4910 Augusta Dr
Middleton, WI 53597-8822
Phone
(303) 884-1699
NPI assigned
Jun 24, 2009
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 67450 WI Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 67450 WI
Pediatrics Physician 208000000X 2010027316 MO
Pain Medicine Physician 208VP0000X 67450 WI

Addresses

Primary practice location

4910 Augusta Dr
Middleton, WI 53597-8822

Mailing address

4910 Augusta Dr
Middleton, WI 53597-8822

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcasias857146@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20210827000623 SC Practitioner - Anesthesiology 9537489182 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ad of South Carolina LLCGroup PAC ID 6901269224, 28 clinicians

Practice addresses (Care Compare)

302 University Pkwy
Aiken, SC 29801-6302
Phone (888) 851-4642

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010027316MOMDPediatrics Physician
67450WIMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ad of South Carolina LLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Low Country Anesthesia, PA Anesthesiology CurrentSince Aug 5, 2024 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Aug 19, 2021 Accepting new patients
Atlantic Coast Anesthesia Services P.C. Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients

Locations

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1356579726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 AUGUSTA DR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535978822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 AUGUSTA DR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535978822",
            "telephone_number": "303-884-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIAS",
        "first_name": "TIMOTHY",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "67450",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": "67450",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2010027316",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WI",
            "license": "67450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcasias857146@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1675 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.