Timothy Coalwell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3354 Issued in AK

Practice address

2211 E Northern Lights Blvd
Anchorage, AK 99508-4103

Phone

(907) 279-8486

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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.

• Arete Family Care LLC

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1801460415

  AK, Family Medicine

  Medicare reassignment Care Compare group NPD
• Alaska Center for Pediatrics, LLC

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1659581635

  AK

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CP Ak HH, LLC

  • Home Health Agency
  • Anchorage, AK
  • NPI 1134941156
  Care Compare affiliation
• Galen Hospital Alaska, Inc.

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1952348047

  Hospital

  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119

  Hospital

  Care Compare affiliation

Specialty

Family PracticeAlso: General Surgery

Education

University of Arkansas College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings Inc 1,992 clinicians

Arete Family Care LLC 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence at Home With Compassus HH Anchorage Home health agency, Anchorage, AK, CCN 027001
• Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in AK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24116/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/9493/brand/2/csg/1/fhir/r4
• Direct secure messaging: timothy.coalwell.1@24116.direct.athenahealth.com

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

Specialties & licenses 1

Addresses

Other identifiers 1

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932271152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY LAKE DR STE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084658",
            "telephone_number": "907-777-1850",
            "fax_number": "907-561-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084103",
            "telephone_number": "907-279-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COALWELL",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012877",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Anchorage, AK
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.