Active NPI
Ruben Berrocal Timmons, MD
- Interventional Pain Medicine Physician
- Gulf Breeze, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME 42993
- Practice address
- 3406 Santa Rosa Dr
Gulf Breeze, FL 32563-5665 - Phone
- (850) 462-4544
- Fax
- (850) 777-3166
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ME 42993 | FL | Primary |
Addresses
Primary practice location
3406 Santa Rosa Dr
Gulf Breeze, FL 32563-5665
Mailing address
PO Box 30332
Pensacola, FL 32503-1332
Phone (850) 462-4544
Other practice location 1
1549 Airport Blvd Ste 440
Pensacola, FL 32504-8634
Phone (850) 462-4544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043027700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3406 Santa Rosa Dr
Gulf Breeze, FL 32563-5665
Phone (850) 462-4544
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.28 of 100
- Quality
- 90.88
- Improvement activities
- 40
- Cost
- 73.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 42993 | FL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Medicine and Pain Management Physicians PLLC | Interventional Pain Medicine | Current | Accepting new patients |
| Interventional Rehabilitation Center, LLC | Current | Accepting new patients | |
| Northwest Florida Anesthesia Consultants Inc | Past | Accepting new patients | |
| Jacksonville Beaches Anesthesia Associates, Inc. | Past | Accepting new patients |
Locations
3406 Santa Rosa Dr
Gulf Breeze, FL 32563
Phone (850) 462-4544
1645 Nantahala Beach Rd
Gulf Breeze, FL 32563
Phone (850) 438-1136
5330 N Davis Hwy
Pensacola, FL 32503
Phone (850) 469-2319
120 E Main St
Ste B
Pensacola, FL 32502
Phone (734) 389-5832
12385 Sorrento Rd
Ste D
Pensacola, FL 32507
1549 Airport Blvd
Ste 420
Pensacola, FL 32504
Phone (850) 484-8800
1549 Airport Blvd
Ste 440
Pensacola, FL 32504
Phone (850) 201-2418
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEDJAD/Endpoint/JEDJAD
- ruben.timmons.1@24700.direct.athenahealth.com
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.
-
- Interventional Pain Medicine Physician
- Gulf Breeze, FL
- NPI 1245764554
-
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1205839487
-
- Anesthesiology Physician
- Jacksonville Beach, FL
- NPI 1174781744
-
- Certified Registered Nurse Anesthetist
- Sunrise, FL
- NPI 1497702229
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1376546572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30332",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325031332",
"telephone_number": "850-462-4544",
"fax_number": "850-777-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 SANTA ROSA DR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325635665",
"telephone_number": "850-462-4544",
"fax_number": "850-777-3166"
}
],
"practiceLocations": [
{
"address_1": "1549 Airport Blvd Ste 440",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325048634",
"country_code": "US",
"telephone_number": "850-462-4544",
"fax_number": "850-462-5502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIMMONS",
"first_name": "RUBEN",
"middle_name": "BERROCAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME 42993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043027700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.