NPIMap

Individual provider Active NPI

Timothy Patrick Walbridge, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1386609071
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01064701A Issued in IN
Practice address
3834 S Emerson Ave Ste 100
Indianapolis, IN 46203-5901
Phone
(317) 782-1577
Fax
(888) 366-7577
NPI assigned
Apr 18, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301088280 MI
Internal Medicine Physician 207R00000X A83728 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 01064701A IN
Internal Medicine Physician 207R00000X 01064701A IN Primary

Addresses

Primary practice location

3834 S Emerson Ave Ste 100
Indianapolis, IN 46203-5901

Mailing address

3834 S Emerson Ave
Building C, Suite 100
Indianapolis, IN 46203-5901
Phone (317) 782-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000104 IN Practitioner - Internal Medicine 6204832751 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Altea Medical Indiana PCGroup PAC ID 4183064389, 24 clinicians

Practice addresses (Care Compare)

1101 E Coolspring Ave
Michigan City, IN 46360-6310
Phone (877) 883-9430

2350 Taft St
Gary, IN 46404-3349
Phone (219) 977-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83728CAMDInternal Medicine Physician
01064701AINMDInternal Medicine Physician
01064710AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC Internal Medicine CurrentSince Jan 30, 2024 Accepting new patients
Advanced Healthcare Associates LLP Internal Medicine CurrentSince May 1, 2018 Accepting new patients
Altea Medical Indiana PC Internal Medicine CurrentSince Feb 26, 2024 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2300 Parkview Ln
Elwood, IN 46036
Phone (765) 203-2672

2350 Taft St
Gary, IN 46404
Phone (219) 944-2677

1924 Wellesley Blvd
Indianapolis, IN 46219
Phone (317) 262-0950

3834 S Emerson Ave
Ste C
Indianapolis, IN 46203
Phone (317) 782-1577

3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667

1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Westside Retirement VillageIndianapolis, IN, CCN 155606 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2024
Feb 1, 2024
Northview Health and LivingAnderson, IN, CCN 155718 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024
Summit Health and LivingSummitville, IN, CCN 155839 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024
Elwood Health and LivingElwood, IN, CCN 155522 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024
Tranquility Nursing and RehabIndianapolis, IN, CCN 155857 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2025
Apr 1, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 11

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386609071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 S EMERSON AVE",
            "address_2": "BUILDING C, SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035901",
            "telephone_number": "317-782-1577",
            "fax_number": "317-780-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 S EMERSON AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035901",
            "telephone_number": "317-782-1577",
            "fax_number": "888-366-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBRIDGE",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301088280",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A83728",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "01064701A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01064701A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.