Individual provider Active NPI

Timothy Michael Farley, M.D.

  • Hospitalist Physician
  • Pueblo, CO
National Provider Identifier
1710317979
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01082603A Issued in IN
Practice address
902 Lakeview Ave
Pueblo, CO 81004-3597
Phone
(719) 557-5872
NPI assigned
Nov 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X TP487 KY
Hospitalist Physician 208M00000X 46606 KY
Family Medicine Physician 207Q00000X TL0006314 CO
Hospitalist Physician 208M00000X 01082603A IN Primary

Addresses

Primary practice location

902 Lakeview Ave
Pueblo, CO 81004-3597

Mailing address

525 Newark Ave Apt 3R
Jersey City, NJ 07306-1328

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tfarley23114@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140321000643 KY Practitioner - HospitalistPractitioner - General Practice 4183855869 Reassigns benefits to 2 organizations
I20190815000275 IN Practitioner - Family Practice 4183855869 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Rutgers New Jersey Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians
Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, 140 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7474

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-7338

4099 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 858-3051

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-2239

600 W 13TH St
100 Memorial Hospital and Health Care Cente
Jasper, IN 47546-1882
Phone (812) 996-5800

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
91.59
Promoting interoperability
100
Improvement activities
40
Cost
76.82

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL0006314COMDFamily Medicine Physician
TP487KYMDGeneral Practice Physician
01082603AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of Indiana, PC Family Medicine CurrentSince Nov 24, 2022 Accepting new patients
Methodist Health, Inc. Family Medicine CurrentSince Jan 27, 2023 Accepting new patients
Deaconess Hospital, Inc CurrentSince May 1, 2024 Accepting new patients
Deaconess Hospital, Inc Family Medicine CurrentSince Dec 6, 2022 Accepting new patients
Deaconess Hospital Inc CurrentSince Dec 6, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2019 Accepting new patients
Deaconess Hospital, Inc Family Medicine Current Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc Hospitalist CurrentSince Sep 1, 2019 Accepting new patients
Methodist Health, Inc. CurrentSince Jan 27, 2023 Accepting new patients
Deaconess Memorial Medical Center Inc Family Medicine PastSince Mar 9, 2026 Accepting new patients
Deaconess Memorial Medical Center Inc PastSince Mar 9, 2026 Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1850 State St
Rm 309
New Albany, IN 47150
Phone (812) 944-7701

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573

1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

2600 Stanley Gault Pkwy
Ste 201
Louisville, KY 40223
Phone (502) 253-1025

2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1710317979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NEWARK AVE APT 3R",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 LAKEVIEW AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043597",
            "telephone_number": "719-557-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "TP487",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "46606",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "TL0006314",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01082603A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tfarley23114@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1850 State St Rm 309",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471504990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.