Individual provider Active NPI

Timothy Zimmerman, MD

  • Sports Medicine (Internal Medicine) Physician
  • Fort Smith, AR
National Provider Identifier
1528521127
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
E-16713 Issued in AR
Practice address
3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone
(479) 709-6700
Fax
(479) 709-6710
NPI assigned
Apr 10, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0010X E-16713 AR Primary

Addresses

Primary practice location

3501 We Knight Dr
Fort Smith, AR 72903-6254

Mailing address

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

Other practice location 1

3505 S 79th St
Fort Smith, AR 72903-6250
Phone (479) 709-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20231104000346 AR Practitioner - Internal MedicinePractitioner - Sports Medicine 5395088215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sports Medicine
Education
University of Texas Medical School at Houston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, shared by 4 NPIs, 361 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

3505 S 79TH St
Fort Smith, AR 72903-6250
Phone (479) 709-8686

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-16713ARMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities Multi-Specialty CurrentSince Oct 14, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities Multi-Specialty CurrentSince Jul 24, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 24, 2023 Accepting new patients

Locations

3505 S 79th St
Fort Smith, AR 72903
Phone (479) 709-6729

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1528521127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 WE KNIGHT DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036254",
            "telephone_number": "479-709-6700",
            "fax_number": "479-709-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 WE KNIGHT DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036254",
            "telephone_number": "479-709-6700",
            "fax_number": "479-709-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 S 79th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729036250",
            "country_code": "US",
            "telephone_number": "479-709-6700",
            "fax_number": "479-709-6730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "AR",
            "license": "E-16713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.