Active NPI
Timothy A Newcomer, CRNA
- Certified Registered Nurse Anesthetist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN255472L
- Practice address
- 3851 Roger Brooke Dr
McHe-QD (Creds)
San Antonio, TX 78234-4501 - Phone
- (210) 916-2460
- NPI assigned
- Nov 2, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN255472L | PA | Primary |
Addresses
Primary practice location
3851 Roger Brooke Dr
McHe-QD (Creds)
San Antonio, TX 78234-4501
Mailing address
1012 Gorgas Cir
San Antonio, TX 78234-2638
Phone (210) 281-0095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2775 Mosside Blvd
Monroeville, PA 15146-2760
Phone (412) 357-3161
815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.94 of 100
- Quality
- 61.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN255472L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Upmc Community Medcine Inc | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Upmc Community Medicine, Inc | Current | Accepting new patients | |
| Upmc Community Medicine Inc | Current | Accepting new patients |
Locations
875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622
815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000
339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762
2 Hot Metal St
Ste 1
Pittsburgh, PA 15203
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1558976092
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1033125455
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Family Medicine Physician
- Hermitage, PA
- NPI 1023806676
-
- Geriatric Medicine (Internal Medicine) Physician
- Pittsburgh, PA
- NPI 1477742484
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroeville, PA
- NPI 1225323983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437140019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 GORGAS CIR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782342638",
"telephone_number": "210-281-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"address_2": "MCHE-QD (CREDS)",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782344501",
"telephone_number": "210-916-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMER",
"first_name": "TIMOTHY",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN255472L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.