Individual provider Active NPI

Timothy James Wymer, M.D.

  • Internal Medicine Physician
  • North Chelmsford, MA
National Provider Identifier
1376937268
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
273817 Issued in MA
Practice address
14 Research PL Ste 3
North Chelmsford, MA 01863-2460
Phone
(660) 797-8256
NPI assigned
Mar 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 273817 MA Primary

Addresses

Primary practice location

14 Research PL Ste 3
North Chelmsford, MA 01863-2460

Mailing address

14 Research PL Ste 3
North Chelmsford, MA 01863-2460
Phone (978) 256-6607

Other identifiers 1

IdentifierTypeStateIssuer
110107702AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180522000273 MA Practitioner - Internal Medicine 0547575706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGH Merrimack Valley Cardiology Associates, LLCGroup PAC ID 4082886569, 22 clinicians

Practice addresses (Care Compare)

14 Research PL
Suite 3
North Chelmsford, MA 01863-2460
Phone (978) 256-6607

295 Varnum Ave
Lowell, MA 01854-2134

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273817MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Merrimack Valley Cardiology Associates, LLC CurrentSince Jul 24, 2023 Accepting new patients
Merrimack Valley Cardiology Current Accepting new patients

Locations

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

14 Research Pl
North Chelmsford, MA 01863
Phone (978) 256-6607

14 Research Pl
Ste 3
North Chelmsford, MA 01863
Phone (978) 256-6607

Organizations & group practices 2

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 2

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1376937268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL STE 3",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632460",
            "telephone_number": "978-256-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL STE 3",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632460",
            "telephone_number": "660-797-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMER",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2023-07-26",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "273817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110107702A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.