Individual provider Active NPI

Timothy Mark Ricketts, MD

  • Internal Medicine Physician
  • Hoover, AL
National Provider Identifier
1912014259
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13998 Issued in AL
Practice address
2010 Patton Chapel Rd
Hoover, AL 35216
Phone
(205) 822-0233
Fax
(205) 822-0235
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13998 AL Primary

Addresses

Primary practice location

2010 Patton Chapel Rd
Hoover, AL 35216

Mailing address

2010 Patton Chapel Rd
Hoover, AL 35216
Phone (205) 822-0233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 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
I20110215000726 AL Practitioner - Emergency MedicinePractitioner - Internal Medicine 0446430961 Reassigns benefits to 7 organizations
I20231127000130 TN Practitioner - Emergency Medicine 0446430961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of Alabama School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Practice addresses (Care Compare)

3316 Hwy 280
Alexander City, AL 35010-3369
Phone (256) 329-7100

Hospital & facility affiliations

  • Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13998ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newgen Alabama Billing LLC CurrentSince Nov 17, 2024 Accepting new patients
Nes Tennessee Inc CurrentSince Jan 12, 2022 Accepting new patients
Nes Tennessee Inc CurrentSince Jan 12, 2022 Accepting new patients
Emergency Services of Montgomery PC CurrentSince Jun 6, 2018 Accepting new patients
Emergency Coverage, LLC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Med Help 280 LLC CurrentSince Nov 7, 2022 Accepting new patients
Paragon Contracting Services LLC CurrentSince Feb 1, 2018 Accepting new patients
Nes Tennessee Inc Current Accepting new patients
Medhelp Shelby, LLC CurrentSince Nov 7, 2022 Accepting new patients
Seale Harris Clinic P C Internal Medicine Past Accepting new patients
Affinity Physician Services LLC Past Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

800 Lakeshore Dr
Birmingham, AL 35229
Phone (205) 726-2011

4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231

151 Narrows Pkwy
Ste 110
Birmingham, AL 35242
Phone (205) 444-9550

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

3143 Pelham Pkwy
Ste 100
Pelham, AL 35124
Phone (205) 545-9530

3143 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

3170 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10041301
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

Organizations & group practices 12

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1912014259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 PATTON CHAPEL RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-822-0233",
            "fax_number": "205-822-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 PATTON CHAPEL RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-822-0233",
            "fax_number": "205-822-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "TIMOTHY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "13998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.