Individual provider Active NPI

Timothea Seriatos, MD

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1780645713
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD064293L Issued in PA
Practice address
116 S George St Ste 200
York, PA 17401-1443
Phone
(717) 845-8617
Fax
(717) 854-6645
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD064293L PA Primary

Addresses

Primary practice location

116 S George St Ste 200
York, PA 17401-1443

Mailing address

116 S George St Ste 301
York, PA 17401-1443
Phone (717) 801-4821

Other identifiers 3

IdentifierTypeStateIssuer
1020453540001MedicaidPA
01398102OtherPACAPITAL BLUE CROSS
21120OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Timothea Elia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050615000412 PA Practitioner - Family Practice 0446294904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
70.23
Promoting interoperability
100
Improvement activities
40
Cost
77.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD064293LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Urgent Care Group PC CurrentSince Feb 1, 2019 Accepting new patients
Lebanon Emergency Physicians PC Past Accepting new patients
On Demand Urgent Care Group PC PastSince Feb 1, 2019 Accepting new patients

Locations

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

1217 S Broad St
Philadelphia, PA 19147
Phone (215) 999-1217

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

Interoperability endpoints

  • Direct secure messaging: timothea.jarrell.1@14965.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1780645713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST STE 301",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011443",
            "telephone_number": "717-801-4821",
            "fax_number": "717-854-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST STE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011443",
            "telephone_number": "717-845-8617",
            "fax_number": "717-854-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIATOS",
        "first_name": "TIMOTHEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD064293L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020453540001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01398102",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "21120",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHEA",
            "last_name": "ELIA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.