Timothy G Caudill, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD00032378 Issued in WA

Practice address

401 W Poplar St
Walla Walla, WA 99362-2846

Phone

(509) 529-1284

NPI assigned

Jun 16, 2005

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 3

Medicare fee-for-service enrollment

Enrolled in WA, HI2 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

Specialty

Anesthesiology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Health and Service- WashingtonGroup PAC ID 0840279758, 170 clinicians

Medstream Anesthesia Hawaii LLCGroup PAC ID 6002120599, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
• North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028

Merit-based Incentive Payment System (MIPS)

Final score

85.73 of 100Reported as group

Quality

83.21

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tcaudill187188@wm.providencedirect.org

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.

• Providence Health & Service- Washington

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1508118555
  Medicare reassignment Care Compare group NPD
• Medstream Anesthesia Hawaii, LLC

  • Anesthesiology Physician
  • Kamuela, HI
  • NPI 1346621190
  Medicare reassignment Care Compare group NPD

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

• Providence Health & Services - Washington

  • General Acute Care Hospital
  • Walla Walla, WA
  • NPI 1386895886
  Care Compare affiliation
• Queens North Hawaii Community Hospital

  • General Acute Care Hospital
  • Kamuela, HI
  • NPI 1477559029
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1720083686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1663",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620031",
            "telephone_number": "509-529-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W POPLAR ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622846",
            "telephone_number": "509-529-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "TIMOTHY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00032378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050051134",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075072",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8180499",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Castillo, ARNP
• Catherine J. Mehn, Licsw
• Catholic Children & Family Service
• Diana Rami Cation, ARNP
• Hilary Catlett, LICSW
• Cecil S. Ash DDS, PS
• Certified Hearing Services, PLLC
• Chad Ordelheide DDS PLLC
• Laura Christine Chapman, A.A.S.
• Margarete Chase, MA, PHD

• Anesthesiology Physician in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.