Individual provider Active NPI

Timothy D Kathman, M.D.

  • Internal Medicine Physician
  • Greenville, OH
National Provider Identifier
1770502700
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048005 Issued in OH
Practice address
835 Sweitzer St
Greenville, OH 45331-1077
Phone
(937) 548-1141
Fax
(937) 475-5789
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 048005 OH Primary

Addresses

Primary practice location

835 Sweitzer St
Greenville, OH 45331-1077

Mailing address

835 Sweitzer St
Greenville, OH 45331-1077
Phone (937) 569-6937

Other identifiers 2

IdentifierTypeStateIssuer
0559159MedicaidOH
KA0564244OtherOHMEDICARE ID-TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20101104001070 OH Practitioner - Internal Medicine 7517151418 Reassigns benefits to 3 organizations
Practice locations: Greenville, OH

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

835 Sweitzer St
Greenville, OH 45331-1007
Phone (937) 548-1141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048005OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services of Darke County, Inc. CurrentSince Sep 9, 2018 Accepting new patients
Wayne Hospital Company Professional Services LLC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Family Health Services of Darke County Inc Current Accepting new patients
Wayne Hospital Company CurrentSince Jan 1, 1994 Accepting new patients
Family Health Services of Darke County, Inc. CurrentSince Sep 9, 2018 Accepting new patients
Family Health Services of Darke County Inc Past Accepting new patients
Family Health Services of Darke County, Inc. Past Accepting new patients

Locations

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

5735 Meeker Rd
Ste 5
Greenville, OH 45331

1101 Jackson St
Ste C
Greenville, OH 45331
Phone (937) 547-2319

812 Central Ave
Greenville, OH 45331
Phone (937) 548-1522

5735 Meeker Rd
Greenville, OH 45331
Phone (937) 548-3806

Interoperability endpoints

  • Direct secure messaging: timothy.kathman@fhsi.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1770502700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311077",
            "telephone_number": "937-569-6937",
            "fax_number": "937-475-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311077",
            "telephone_number": "937-548-1141",
            "fax_number": "937-475-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHMAN",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "048005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0559159",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "KA0564244",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.