Individual provider Active NPI

Isaac R Thimmesch, D.O.

  • Obstetrics & Gynecology Physician
  • Fort Bliss, TX
National Provider Identifier
1902230949
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1250 Issued in NE
Practice address
18511 Highlander Medics Street
Fort Bliss, TX 79918
Phone
(915) 742-2273
NPI assigned
Aug 27, 2013
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 1250 NE Primary

Addresses

Primary practice location

18511 Highlander Medics Street
Fort Bliss, TX 79918

Mailing address

5546 Rorenstock St
El Paso, TX 79906-4032
Phone (910) 729-9677

Other practice location 1

Womack Army Medical Ctr
2817 Reilly Road
Fort Bragg, NC 28310-0001
Phone (910) 907-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20211210000521 IN Practitioner - Obstetrics/Gynecology 0648660449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

1818 Carew St
Suite 160
Fort Wayne, IN 46805-4792
Phone (260) 266-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1250NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System, Inc. Obstetrics & Gynecology CurrentSince Jan 30, 2022 Accepting new patients
Parkview Health System Inc Current Accepting new patients

Locations

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

11123 Parkview Plaza Dr
Ste 101
Fort Wayne, IN 46845
Phone (260) 425-6650

1818 Carew St
Ste 160
Fort Wayne, IN 46805
Phone (219) 436-0058

Interoperability endpoints

  • Direct secure messaging: ithimmesch479538@direct.parkviewexchange.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1902230949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 RORENSTOCK ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799064032",
            "telephone_number": "910-729-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 HIGHLANDER MEDICS STREET",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79918",
            "telephone_number": "915-742-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Womack Army Medical Ctr",
            "address_2": "2817 Reilly Road",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283100001",
            "country_code": "US",
            "telephone_number": "910-907-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIMMESCH",
        "first_name": "ISAAC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "1250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bliss, TX

Sources for this page

Verify at the official NPI Registry.