Timothy B McKernan, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

0101222078 Issued in VA

Practice address

1906 Belleview Ave SE
Emergency Dept.
Roanoke, VA 24014-1838

Phone

(540) 981-7000

Fax

(540) 981-9550

NPI assigned

Mar 29, 2006

Last updated

Oct 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Internal MedicineAlso: Emergency Medicine

Education

Wayne State University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospice Inc Hospice, Roanoke, VA, CCN 491510
• Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116
• Pulaski HLTH & Rehab CNTR Nursing home, Pulaski, VA, CCN 495294
• Radford Health And Rehab Center Nursing home, Radford, VA, CCN 495355
• Highland Ridge Rehab Center Nursing home, Dublin, VA, CCN 495333

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmckernan21623@direct.carilionclinic.org

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• NRV Health Care LLC

  dba Radford Health & Rehab Center

  • Skilled Nursing Facility
  • Radford, VA
  • NPI 1881663771

  Adp of the SNF

  CMS ownership

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.

• Universal Health Corporation

  • Internal Medicine Physician
  • Roanoke, VA
  • NPI 1407117625
  Medicare reassignment Care Compare group NPD
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  VA

  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  VA

  Medicare reassignment NPD
• Carilion Emergency Services, Inc.

  dba VelocityCare

  • Urgent Care Clinic/Center
  • Christiansburg, VA
  • NPI 1598533879
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Hospice, Inc.

  • Community Based Hospice Care Agency
  • Roanoke, VA
  • NPI 1548268923
  Care Compare affiliation
• Highland SNF Operations LLC

  dba Highland Ridge Rehab Center

  • Skilled Nursing Facility
  • Dublin, VA
  • NPI 1679034078

  Nursing home

  Care Compare affiliation
• NRV Health Care LLC

  dba Radford Health & Rehab Center

  • Skilled Nursing Facility
  • Radford, VA
  • NPI 1881663771

  Nursing home

  Care Compare affiliation
• Pulaski Community Hospital Inc

  dba Lewisgale Hospital Pulaski

  • General Acute Care Hospital
  • Pulaski, VA
  • NPI 1205882396
  Care Compare affiliation
• Pulaski Community Hospital, Inc.

  dba LewisGale Hospital Pulaski

  • Psychiatric Hospital Unit
  • Pulaski, VA
  • NPI 1477018893
  Care Compare affiliation
• Pulaski Operations LLC

  dba Pulaski Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Pulaski, VA
  • NPI 1114591385

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1821059981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2080",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224822080",
            "telephone_number": "804-435-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "address_2": "EMERGENCY DEPT.",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000",
            "fax_number": "540-981-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKERNAN",
        "first_name": "TIMOTHY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101222078",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101222078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010043603",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010043913",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmckernan21623@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tmckernan21623@direct.carilionclinic.org",
            "address_1": "1906 Belleview Ave SE",
            "address_2": "Emergency Dept.",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240141838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily McKee
• Heather McKee, FNP-C
• Rebekah Cocke McKelvey, FNP
• Dana McKenzie, LPC
• Ralph Randolph McKenzie Jr., D.O.
• Rachel Rae McKinley
• Amy Janelle McKinney, LPN
• Corinne McKinney, LCSW
• McLamb Counseling LLC (Silver Sky Counseling)
• Jordan Kendrick McLamb

• Geriatric Medicine (Internal Medicine) Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.