Individual provider Active NPI

Timothy Foreman, MD

  • Anesthesiology Physician
  • Jefferson City, MO
National Provider Identifier
1871155960
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2019023971 Issued in MO
Practice address
3218 Emerald LN Ste C
Jefferson City, MO 65109-6948
Phone
(816) 853-5736
NPI assigned
Jun 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2019023971 MO Primary

Addresses

Primary practice location

3218 Emerald LN Ste C
Jefferson City, MO 65109-6948

Mailing address

1 Hospital Dr # Mc404
Columbia, MO 65212-1000
Phone (573) 884-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240605000181 MO Practitioner - General Surgery 4284969320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Missouri, Columbia School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Missouri Anesthesia Consultants PCGroup PAC ID 8224025747, 13 clinicians

Practice addresses (Care Compare)

2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Missouri Anesthesia Consultants PC Anesthesiology CurrentSince Jul 15, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3218 Emerald Ln
Ste C
Jefferson City, MO 65109
Phone (816) 853-5736

2505 Mo Blvd
Jefferson City, MO 65109

3349 American Ave
Ste C
Jefferson City, MO 65109
Phone (573) 635-9480

1705 Christy Dr
Jefferson Cty, MO 65101
Phone (573) 289-9619

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1871155960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR # MC404",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-884-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 EMERALD LN STE C",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096948",
            "telephone_number": "816-853-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2019023971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.