Individual provider Active NPI

Timothy Wilson-Byrne, M.D.

  • Vascular Surgery Physician
  • Fall River, MA
National Provider Identifier
1912326562
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
292747 Issued in MA
Practice address
901 S Main St
Fall River, MA 02724-2943
Phone
(508) 673-4329
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 292747 MA Primary

Addresses

Primary practice location

901 S Main St
Fall River, MA 02724-2943

Mailing address

901 S Main St
Fall River, MA 02724-2943
Phone (508) 673-4329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20220818000721 MA Practitioner - Vascular Surgery 5890178214 Reassigns benefits to 1 organization
I20221128000839 RI Practitioner - Vascular Surgery 5890178214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Albany Medical College of Union University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Johnston, RI 02919-3228
Phone (401) 351-4041

901 S Main St
Fall River, MA 02724-2943
Phone (508) 673-4329

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal37
Leg revascularization (restoring blood flow)27
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Sep 1, 2022 Accepting new patients
Prima Care, PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

901 S Main St
Fall River, MA 02724
Phone (508) 673-4329

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

19 Friendship St
Unit 150
Newport, RI 02840
Phone (401) 848-6042

1040 Charles St
North Providence, RI 02904
Phone (508) 676-3929

1524 Atwood Ave
Providence, RI 02919
Phone (401) 272-2110

Interoperability endpoints

  • Direct secure messaging: timothy.wilsonbyrne@prima.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1912326562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242943",
            "telephone_number": "508-673-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242943",
            "telephone_number": "508-673-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-BYRNE",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "292747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.