Active NPI
Timothy H Camden, MD
- Internal Medicine Physician
- Mattoon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036109079
- Practice address
- 200 Lerna Rd S
Mattoon, IL 61938-9388 - Phone
- (217) 258-5960
- NPI assigned
- May 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036109079 | IL | Primary |
Addresses
Primary practice location
200 Lerna Rd S
Mattoon, IL 61938-9388
Mailing address
200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036109079 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Southern Illinois University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900
2512 Hurst Dr
Suite 130
Mattoon, IL 61938-9200
Phone (217) 258-5900
401 N Keller Dr
Suite 3
Effingham, IL 62401-1881
Phone (217) 347-6400
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531
Hospital & facility affiliations
- Sarah Bush Lincoln Home Care
- LHC-Illinois Home Health Care
- Sarah Bush Lincoln Health Center
- Carle Hoopeston Regional Health Center
- Carle Foundation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036109079 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Internal Medicine | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
837 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5530
2512 Hurst Dr
Mattoon, IL 61938
Phone (217) 258-5900
200 Lerna Rd S
Mattoon, IL 61938
Phone (217) 258-3640
2512 Hurst Dr
Ste 120
Mattoon, IL 61938
Phone (217) 258-5900
2512 Hurst Dr
Ste 130
Mattoon, IL 61938
Phone (217) 258-5900
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Home Health Agency
- Champaign, IL
- NPI 1841537503
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Home Health Agency
- Charleston, IL
- NPI 1922190024
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1659323327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LERNA RD S",
"city": "MATTOON",
"state": "IL",
"postal_code": "619389388",
"telephone_number": "217-258-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LERNA RD S",
"city": "MATTOON",
"state": "IL",
"postal_code": "619389388",
"telephone_number": "217-258-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMDEN",
"first_name": "TIMOTHY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036109079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036109079",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.