Individual provider Active NPI

Timothy Alan Niemi, M.D.

  • Emergency Medicine Physician
  • Cortland, OH
National Provider Identifier
1790753036
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-053422 Issued in OH
Practice address
2662 Elm Rd NE
Cortland, OH 44410-9393
Phone
(330) 841-3004
Fax
(330) 841-3001
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-053422 OH Primary

Addresses

Primary practice location

2662 Elm Rd NE
Cortland, OH 44410-9393

Mailing address

2287 State Route 305
P. O. Box 542
Cortland, OH 44410-9304
Phone (330) 841-3004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20091112000039 OH Practitioner - Emergency Medicine 0446398440 Reassigns benefits to 1 organization
I20181127003073 PA Practitioner - Emergency Medicine 0446398440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
78.36
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
35-053422OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Erie County LTD. Emergency Medicine CurrentSince Dec 9, 2020 Accepting new patients
Ahn Emergency Group of Clarion County LTD Emergency Medicine CurrentSince Dec 9, 2020 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Apr 1, 2010 Accepting new patients

Locations

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

7123 Pearl Rd
Ste 201
Middleburg Heights, OH 44130
Phone (440) 842-8800

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

6505 Market St
Bldg B
Youngstown, OH 44512
Phone (330) 726-2100

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1790753036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 STATE ROUTE 305",
            "address_2": "P. O. BOX 542",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109304",
            "telephone_number": "330-841-3004",
            "fax_number": "330-841-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 ELM RD NE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109393",
            "telephone_number": "330-841-3004",
            "fax_number": "330-841-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMI",
        "first_name": "TIMOTHY",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-053422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

Verify at the official NPI Registry.