Active NPI
Timothea Seriatos, MD
- Family Medicine Physician
- York, PA
National Provider Identifier
1780645713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD064293L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020453540001 | Medicaid | PA | |
| 01398102 | Other | PA | CAPITAL BLUE CROSS |
| 21120 | Other | PA | HIGHMARK BLUE SHIELD |
Other names 1
- Timothea Elia
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.37 of 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD064293L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Demand Urgent Care Group PC | Current | Accepting new patients | |
| Lebanon Emergency Physicians PC | Past | Accepting new patients | |
| On Demand Urgent Care Group PC | Past | 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
- 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.
-
dba On Demand Urgent Care
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1053729814
-
- Specialist
- Lebanon, PA
- NPI 1508907262
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1881083723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.