Individual provider Active NPI

Timothy Chester Gajewski, MD

  • Orthopaedic Surgery Physician
  • Albemarle, NC
National Provider Identifier
1962517581
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2017-02461 Issued in NC
Practice address
105 Yadkin St
Ste 101
Albemarle, NC 28001-3449
Phone
(980) 323-5425
NPI assigned
Aug 21, 2006
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2017-02461 NC Primary

Addresses

Primary practice location

105 Yadkin St
Ste 101
Albemarle, NC 28001-3449

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

2301 US Highway 74 W
Ste 1500
Wadesboro, NC 28170-7554
Phone (704) 994-4900

Other practice location 2

123 Professional Park Dr
Locust, NC 28097-7712
Phone (704) 403-6760

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tgajewski454177@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20180125002000 VA Practitioner - Orthopedic Surgery 7810880713 Reassigns benefits to 3 organizations
I20190507003289 NC Practitioner - Orthopedic Surgery 7810880713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

105 Yadkin St
Suite 101
Albemarle, NC 28001-3450
Phone (980) 323-5425

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-02461NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. CurrentSince Dec 1, 2017 Accepting new patients
Shenandoah Memorial Hospital Inc. CurrentSince Dec 1, 2017 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 27, 2020 Accepting new patients
Riverside Physician Services Inc CurrentSince Oct 28, 2019 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Dec 1, 2017 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 27, 2020 Accepting new patients
Carolinas Physicians Network Inc Orthopaedic Surgery Current Accepting new patients
Valley Physician Enterprise, Inc Orthopaedic Surgery Current Accepting new patients
DLP Western Carolina Physician Practices LLC Orthopaedic Surgery CurrentSince May 14, 2019 Accepting new patients
Riverside Physician Services, Inc. Orthopaedic Surgery CurrentSince Oct 28, 2019 Accepting new patients
Valley Physician Enterprise Inc CurrentSince Dec 1, 2017 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince May 14, 2019 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

105 Yadkin St
Ste 101
Albemarle, NC 28001
Phone (704) 474-3171

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

581 Leroy George Dr
Ste 380
Clyde, NC 28721
Phone (828) 452-8378

123 Professional Park Dr
Locust, NC 28097
Phone (704) 403-6760

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

2301 US Highway 74 W
Ste 1500
Wadesboro, NC 28170
Phone (704) 994-4900

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

20486 Market St
Onancock, VA 23417
Phone (757) 302-2700

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

Interoperability endpoints

  • FHIR API: https://epicproxy.et1320.epichosted.com/FHIRProxy/api/FHIR/R4
  • Direct secure messaging: tgajewski454177@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1962517581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 YADKIN ST",
            "address_2": "STE 101",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013449",
            "telephone_number": "980-323-5425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 US Highway 74 W",
            "address_2": "Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Wadesboro",
            "state": "NC",
            "postal_code": "281707554",
            "country_code": "US",
            "telephone_number": "704-994-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Locust",
            "state": "NC",
            "postal_code": "280977712",
            "country_code": "US",
            "telephone_number": "704-403-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAJEWSKI",
        "first_name": "TIMOTHY",
        "middle_name": "CHESTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2017-02461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgajewski454177@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "105 Yadkin St",
            "address_2": "Ste 101",
            "city": "Albemarle",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280013449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.