Active NPI
Timothy Daniel Wetzel
- Emergency Medicine Physician
- Rocky Mount, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2020-04742
- Practice address
- 2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237 - Phone
- (252) 962-8000
- NPI assigned
- Apr 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 25072 | NC | |
| Emergency Medicine Physician | 207P00000X | 2020-04742 | NC | Primary |
Addresses
Primary practice location
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Mailing address
210 Towne Village Dr
Cary, NC 27513-8910
Phone (919) 859-3373
Other practice location 1
170 Manning Drive Cb 7594
Chapel Hill, NC 27599-4220
Phone (919) 966-6440
Other practice location 2
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 934-8171
Other practice location 3
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-7833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Ohio State University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S Grant Ave
Columbus, OH 43215-4701
Phone (614) 461-3232
Hospital & facility affiliations
- Riverside Methodist Hospital
- Grant Medical Center
- Dublin Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.58 of 100
- Quality
- 75.66
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25072 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Ohio Emergency Services, LLC | Single Specialty | Current | Accepting new patients |
| Wake Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400
111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000
3880 Fishinger Blvd
Hilliard, OH 43026
Phone (614) 788-9310
5868 N Hamilton Rd
New Albany, OH 43054
Phone (614) 788-9350
1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601
4141 N Hampton Dr
Powell, OH 43065
Phone (614) 788-9340
6960 E Main St
Reynoldsburg, OH 43068
Phone (614) 788-9320
260 Polaris Pkwy
Westerville, OH 43082
Phone (614) 533-3470
Interoperability endpoints
- twetzel541040@direct.unc.nchie.net
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.
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1386691780
Single Specialty
-
- Emergency Medicine Physician
- Cary, NC
- NPI 1265923205
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1801937008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1982267191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 TOWNE VILLAGE DR",
"city": "CARY",
"state": "NC",
"postal_code": "275138910",
"telephone_number": "919-859-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 CURTIS ELLIS DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042237",
"telephone_number": "252-962-8000"
}
],
"practiceLocations": [
{
"address_1": "170 Manning Drive Cb 7594",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275994220",
"country_code": "US",
"telephone_number": "919-966-6440",
"fax_number": "919-966-3049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "509 N Brightleaf Blvd",
"address_purpose": "LOCATION",
"city": "Smithfield",
"state": "NC",
"postal_code": "275774407",
"country_code": "US",
"telephone_number": "919-934-8171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144220",
"country_code": "US",
"telephone_number": "984-974-7833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETZEL",
"first_name": "TIMOTHY",
"middle_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-15",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "25072",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2020-04742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.