Timothy W. Eller, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18214 Issued in AL

Practice address

832 Princeton Ave SW
Birmingham, AL 35211-1320

Phone

(205) 206-8475

Fax

(205) 206-8395

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Internal Medicine

Education

University of Alabama School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians

Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Hoover, AL, CCN 017153
• Adoration Hospice Hospice, Oxford, AL, CCN 011629

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teller1869@baptisthealthaldirect.org
• Direct secure messaging: tim.eller.1@15135.direct.athenahealth.com

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.

• Birmingham Internal Medicine Associates, LLC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1598796542
  Medicare reassignment Care Compare group NPD
• Champion Sports Medicine Birmingham, LLC.

  • Physical Therapy Clinic/Center
  • Gardendale, AL
  • NPI 1346813516
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adoration Hospice Care Alabama, LLC

  • Community Based Hospice Care Agency
  • Oxford, AL
  • NPI 1437220456
  Care Compare affiliation
• Comfort Care Home Health Services LLC

  • Home Health Agency
  • Hoover, AL
  • NPI 1851350334
  Care Compare affiliation

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1700827433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12366",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022366",
            "telephone_number": "205-780-7101",
            "fax_number": "205-206-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111320",
            "telephone_number": "205-206-8475",
            "fax_number": "205-206-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "TIMOTHY",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "18214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051501032",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF AL",
            "identifier": "0410170",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51501032",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "F79980",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Boyd Elkins
• Mark Alan Elkus, M.D.
• Ella Esta Wellness LLC
• Brooke Ellard
• Emmett Scott Elledge, MD
• Michael Todd Ellerbusch, M.D.
• David Rich Ellington, M.D.
• Virginia Bonner Elliot-Poole, RPH
• Ashley Elliot, RBT
• Ann Burton Elliott, PA-C

• Internal Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.

Verify at the official NPI Registry.