Active NPI
Timothy Zimmerman, MD
- Sports Medicine (Internal Medicine) Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- E-16713
- 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
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 |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical School at Houston, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Fort Smith Communities
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-16713 | AR | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Fort Smith Communities | Multi-Specialty | Current | Accepting new patients |
| Mercy Clinic Fort Smith Communities | Multi-Specialty | Current | Accepting new patients |
| Mercy Clinic Fort Smith Communities | Current | 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.
-
- Orthopaedic Surgery Physician
- Fort Smith, AR
- NPI 1699070649
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Physical Therapist
- Alma, AR
- NPI 1518936418
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
- Critical Access Hospital
- Ozark, AR
- NPI 1275504128
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.