Active NPI
Timothy F Himel
- Neurology Physician
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 51187
- Practice address
- 130 W Ravine Rd
Kingsport, TN 37660-3837 - Phone
- (423) 224-3628
- Fax
- (423) 224-8502
- NPI assigned
- Feb 16, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 16212 | LA | |
| Neurology Physician | 2084N0400X | 16212 | LA | |
| Neurology Physician | 2084N0400X | 51187 | TN | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 51187 | TN |
Addresses
Primary practice location
130 W Ravine Rd
Kingsport, TN 37660-3837
Mailing address
105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1349127 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Neurology
- Education
- Louisiana State University School of Medicine in New Orleans, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 W Stone Dr
Kingsport, TN 37660-6027
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8200
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16212 | LA | MD | Neurology Physician |
| 51187 | TN | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients |
Locations
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1548304553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W STONE DR",
"address_2": "SUITE 6A",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603365",
"telephone_number": "423-408-7220",
"fax_number": "423-408-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W RAVINE RD",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603837",
"telephone_number": "423-224-3628",
"fax_number": "423-224-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMEL",
"first_name": "TIMOTHY",
"middle_name": "F",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "LA",
"license": "16212",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "16212",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "51187",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "TN",
"license": "51187",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1349127",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.