Individual provider Active NPI

Timothy Hecker, MD,PHD

  • Neurology Physician
  • Mobile, AL
National Provider Identifier
1770790628
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
26897 Issued in AL
Practice address
3280 Dauphin St BLDG a
Mobile, AL 36606-4060
Phone
(251) 450-3700
Fax
(251) 450-4492
NPI assigned
May 17, 2007
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 26897 AL Primary

Addresses

Primary practice location

3280 Dauphin St BLDG a
Mobile, AL 36606-4060

Mailing address

3280 Dauphin St BLDG a
Mobile, AL 36606-4060
Phone (251) 450-3700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080805000738 AL Practitioner - Neurology 8628142858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Alabama School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Neurological Institute PCGroup PAC ID 4688617699, 16 clinicians

Practice addresses (Care Compare)

3280 Dauphin St
Suite a
Mobile, AL 36606-4060
Phone (251) 450-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.08 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
83.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26897ALMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Neurological Institute P.C. CurrentSince Nov 1, 2014 Accepting new patients

Locations

3280 Dauphin St
Bldg A
Mobile, AL 36606
Phone (251) 450-3700

3280 Dauphin St
Ste A
Mobile, AL 36606
Phone (251) 450-3700

Dept AT 952614
Atlanta, GA 31192

Interoperability endpoints

  • Direct secure messaging: coastalneurologicalinstitutepc.timothyhecker@160094.advancedmd-direct.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Springhill Memorial HospitalMobile, AL, CCN 010144 Hospital Corporate Director Jan 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 3

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1770790628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST BLDG A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-450-3700",
            "fax_number": "251-450-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST BLDG A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-450-3700",
            "fax_number": "251-450-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKER",
        "first_name": "TIMOTHY",
        "credential": "MD,PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "26897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.