Active NPI
Timothy E Morgan, MD
- Obstetrics Physician
- Elkhart, IN
National Provider Identifier
1700813953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 01035454
- Practice address
- 2405 West Lexington Avenue
Elkhart, IN 46514-1417 - Phone
- (574) 524-7575
- Fax
- (574) 524-7576
- NPI assigned
- Jun 26, 2006
- Last updated
- Apr 28, 2023
- 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 01035454 | IN | Primary |
Addresses
Primary practice location
2405 West Lexington Avenue
Elkhart, IN 46514-1417
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-2129
Other practice location 1
1215 Lawn Avenue Suite 110
Elkhart, IN 46514-2493
Phone (574) 524-7570
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100326900 | Medicaid | IN | |
| 15837 | Other | IN | PHYSICIANS HEALTH PLAN |
| 000000082180 | Other | IN | ANTHEM BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01035454 | IN | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elkhart General Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1700813953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 WEST LEXINGTON AVENUE",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141417",
"telephone_number": "574-524-7575",
"fax_number": "574-524-7576"
}
],
"practiceLocations": [
{
"address_1": "1215 Lawn Avenue Suite 110",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465142493",
"country_code": "US",
"telephone_number": "574-524-7570",
"fax_number": "574-524-7571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORGAN",
"first_name": "TIMOTHY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IN",
"license": "01035454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100326900",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "15837",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000082180",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.