TIMOTHY L. GILLISON MD – NPI #1710905906
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

TIMOTHY GILLISON is a physician located in SPRINGFIELD, IL. NPPES has assigned the NPI number 1710905906 to TIMOTHY GILLISON on July 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 6 years ago on May 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIMOTHY GILLISON below.

NPI Profile for
TIMOTHY L. GILLISON

NPI Number
1710905906
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TIMOTHY L. GILLISON
Credentials
MD
Primary location
900 N. 1ST STREET
SPRINGFIELD, IL 62702-3749
Phone: (217) 528-7541 Fax: (217) 527-2830
Mailing address
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone: (217) 528-7541 Fax:
Sole Proprietor
No
Updated
Certification Date
May 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
IL 036125875

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
900 N. 1ST STREET,
SPRINGFIELD, IL 77025-1669

Additional Information

Education
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2003
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TIMOTHY GILLISON is affiliated with the following medical group(s):
  • HOSPITAL
    • ILLINI COMMUNITY HOSPITAL
      640 W WASHINGTON
      PITTSFIELD, IL 62363
    • MEMORIAL MEDICAL CENTER
      701 N FIRST ST
      SPRINGFIELD, IL 62702
    • ST JOHNS HOSPITAL
      800 E CARPENTER ST
      SPRINGFIELD, IL 62769
    • THOMAS H BOYD MEMORIAL HOSPITAL
      800 SCHOOL ST
      CARROLLTON, IL 62016
  • HOSPICE
    • KINDRED HOSPICE
      2815 OLD JACKSONVILLE ROAD, SUITE 202
      SPRINGFIELD, IL 62704

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How do I correct or change the NPI data displayed here?
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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.