NPIMap

Individual provider Active NPI

Timmy Alan Ferrell, MD

  • Physical Medicine & Rehabilitation Physician
  • Saint Joseph, MO
National Provider Identifier
1467563460
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2017039277 Issued in MO
Practice address
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone
(816) 271-6000
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X M12915 ID
Physical Medicine & Rehabilitation Physician 208100000X 2017039277 MO Primary

Addresses

Primary practice location

5325 Faraon St
Saint Joseph, MO 64506-3488

Mailing address

10520 N Payment Peak Rd
Hauser, ID 83854-4524
Phone (208) 619-9334

Other practice location 1

10520 N Payment Peak Rd
Hauser, ID 83854-4524
Phone (208) 488-9129

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA, WI, SD4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150723009732 ID Practitioner - Physical Medicine and Rehabilitation 2567632821 Reassigns benefits to 1 organization
I20180926004232 WA Practitioner - Physical Medicine and Rehabilitation 2567632821 Reassigns benefits to 2 organizations
I20201214002743 WI Practitioner - Physical Medicine and Rehabilitation 2567632821 Reassigns benefits to 1 organization
I20241112002702 SD Practitioner - Physical Medicine and Rehabilitation 2567632821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Missouri, Columbia School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

677 Cathedral Dr
Suite 200
Rapid City, SD 57701-7389
Phone (605) 755-4150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M12915IDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association CurrentSince Aug 1, 2018 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince May 16, 2022 Accepting new patients
Multicare Health System Physical Medicine & Rehabilitation CurrentSince May 16, 2022 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Aug 1, 2018 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 15, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Oct 15, 2024 Accepting new patients
Integrative Sports and Spine Inc CurrentSince Mar 17, 2020 Accepting new patients
Thedacare, Incorporated CurrentSince Nov 14, 2020 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Rehabilitation and Critical Care Hospital of the Black Hills, LLC Past Accepting new patients

Locations

9080 Irvine Center Dr
Irvine, CA 92618
Phone (949) 540-5641

1859 S Topaz Way
Meridian, ID 83642
Phone (208) 450-5645

677 Cathedral Dr
Ste 200
Rapid City, SD 57701
Phone (605) 343-9224

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

1005 W Walnut St
Ste 120
Yakima, WA 98902
Phone (509) 248-6080

110 S 9th Ave
Yakima, WA 98902
Phone (509) 575-5000

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

Interoperability endpoints

  • Direct secure messaging: tferrell.174263@regionalhealth.sdhealthlink.net
  • Direct secure messaging: timmy.ferrell.1@4690.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1467563460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 N PAYMENT PEAK RD",
            "city": "HAUSER",
            "state": "ID",
            "postal_code": "838544524",
            "telephone_number": "208-619-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10520 N Payment Peak Rd",
            "address_purpose": "LOCATION",
            "city": "Hauser",
            "state": "ID",
            "postal_code": "838544524",
            "country_code": "US",
            "telephone_number": "208-488-9129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "TIMMY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "M12915",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2017039277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.