Individual provider Active NPI

Timothy W Anderson, MD

  • Infectious Disease Physician
  • Westerville, OH
National Provider Identifier
1568458446
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35-076799 Issued in OH
Practice address
625 Africa Rd Ste 320
Westerville, OH 43082
Phone
(614) 508-0110
Fax
(614) 508-0109
NPI assigned
Sep 26, 2005
Last updated
Jul 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35-076799 OH Primary

Addresses

Primary practice location

625 Africa Rd Ste 320
Westerville, OH 43082

Mailing address

625 Africa Rd Ste 320
Westerville, OH 43082-9808
Phone (614) 508-0110

Other identifiers 1

IdentifierTypeStateIssuer
2281490MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040428001056 OH Practitioner - Infectious Disease 8628065901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-076799OHMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Infectious Disease CurrentSince Jul 1, 2003 Accepting new patients
Central Ohio Primary Care Physicians Inc Infectious Disease Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Jul 1, 2003 Accepting new patients

Locations

1171 Fairway Blvd
Columbus, OH 43213
Phone (614) 861-7051

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

6465 E Broad St
Ste D
Columbus, OH 43213
Phone (614) 322-9640

291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750

400 Altair Pkwy
Ste 4300
Westerville, OH 43082
Phone (614) 326-5665

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

615 Copeland Mill Rd
Ste 2D
Westerville, OH 43081
Phone (614) 508-0110

625 Africa Rd
Ste 320
Westerville, OH 43082
Phone (614) 508-0110

631 Copeland Mill Rd
Ste A
Westerville, OH 43081
Phone (614) 508-2672

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: tanderson19193@copcp.medicity.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1568458446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 AFRICA RD STE 320",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "614-508-0110",
            "fax_number": "614-508-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 AFRICA RD STE 320",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "43082",
            "telephone_number": "614-508-0110",
            "fax_number": "614-508-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35-076799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2281490",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.