Individual provider Active NPI

Timothy Dale Hume, M.D.

  • Family Medicine Physician
  • Tompkinsville, KY
National Provider Identifier
1619975240
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23892 Issued in KY
Practice address
1515 Edmonton Rd
Tompkinsville, KY 42167-9402
Phone
(270) 487-9272
Fax
(270) 487-6242
NPI assigned
Jul 8, 2005
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23892 KY Primary

Addresses

Primary practice location

1515 Edmonton Rd
Tompkinsville, KY 42167-9402

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472

Other identifiers 3

IdentifierTypeStateIssuer
ANTHEMOtherKY000000049273
64238926MedicaidKY
99346MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040413000969 KY Practitioner - Family Practice 3577557438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Medical Foundation, Inc.Group PAC ID 5092702472, 30 clinicians

Practice addresses (Care Compare)

1515 Edmonton Rd
Tompkinsville, KY 42167-9402
Phone (270) 487-9272

360 Keen St
Burkesville, KY 42717-7915
Phone (270) 864-2889

477 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Phone (270) 487-9231

529 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Phone 27048792311199

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23892KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Medical Foundation, Inc. Family Medicine CurrentSince Mar 1, 2012 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Apr 26, 2016 Accepting new patients
Monroe Medical Foundation Inc CurrentSince Mar 1, 2012 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients

Locations

1515 Edmonton Rd
Tompkinsville, KY 42167
Phone (270) 487-9272

529 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-6048

Interoperability endpoints

  • Direct secure messaging: tdhmd@yourcarecommunity.org
  • Direct secure messaging: thumemd@direct.meditouchehr.com

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 4

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1619975240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-858-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 EDMONTON RD",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421679402",
            "telephone_number": "270-487-9272",
            "fax_number": "270-487-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUME",
        "first_name": "TIMOTHY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "23892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000000049273",
            "identifier": "ANTHEM",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64238926",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99346",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tompkinsville, KY

Sources for this page

Verify at the official NPI Registry.