Individual provider Active NPI

Timothy Henry Knierim, MD

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1861493306
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21477 Issued in WV
Practice address
40 Medical Park
Suite 401
Wheeling, WV 26003-6392
Phone
(304) 243-3880
Fax
(304) 243-3895
NPI assigned
Aug 9, 2005
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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 21477 WV Primary

Addresses

Primary practice location

40 Medical Park
Suite 401
Wheeling, WV 26003-6392

Mailing address

40 Medical Park
Suite 401
Wheeling, WV 26003-6392
Phone (304) 243-3880

Other identifiers 4

IdentifierTypeStateIssuer
21477OtherHEALTH PLAN OF UPPER OH V
2487232MedicaidOH
55035705700OtherWVWV COMPENSATION
3810000145MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040528000810 WV Practitioner - Family Practice 4587645098 Reassigns benefits to 3 organizations
I20250219000407 OH Practitioner - Family Practice 4587645098 Reassigns benefits to 2 organizations
I20260526003963 PA Practitioner - Family Practice 4587645098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

222 N 5TH St
Suite 102
Martins Ferry, OH 43935-1582
Phone (740) 232-6104

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21477WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds Memorial Hospital, Inc CurrentSince Mar 1, 2025 Accepting new patients
Reynolds Memorial Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Jul 1, 2024 Accepting new patients
Wheeling Hospital Inc Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Medexpress Urgent Care PLLC-Morgantown Past Accepting new patients
Judith T Romano, M.D. Past Accepting new patients

Locations

222 N 5th St
Ste 101
Martins Ferry, OH 43935
Phone (740) 633-6480

222 N 5th St
Ste 102
Martins Ferry, OH 43935
Phone (740) 232-6104

3948 Central Ave
Shadyside, OH 43947
Phone (740) 325-1313

51339 National Rd
St Clairsvle, OH 43950
Phone (740) 695-1210

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

1025 Market St
Wheeling, WV 26003
Phone (304) 231-2100

40 Medical Park
Ste 401
Wheeling, WV 26003
Phone (304) 243-3330

Organizations & group practices 7

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 2

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1861493306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MEDICAL PARK",
            "address_2": "SUITE 401",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036392",
            "telephone_number": "304-243-3880",
            "fax_number": "304-243-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MEDICAL PARK",
            "address_2": "SUITE 401",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036392",
            "telephone_number": "304-243-3880",
            "fax_number": "304-243-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIERIM",
        "first_name": "TIMOTHY",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "21477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF UPPER OH V",
            "identifier": "21477",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2487232",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV COMPENSATION",
            "identifier": "55035705700",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000145",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.