TIMOTHY MICHAEL PHELAN M.D.
NPI 1639131584
Obstetrics & Gynecology in Jacksonville, FL

Q: What is Timothy Phelan's NPI number?

The NPI number for Timothy Phelan is 1639131584. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Timothy Phelan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Phelan was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2006PECOS Enrolled

2525 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 388-0704(904) 387-9095 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2019, Nov 12, 2015 (2 updates tracked since 2015).

On this page

About Timothy Michael Phelan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY MICHAEL PHELAN M.D. (NPI 1639131584) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME28633) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639131584

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameTIMOTHY MICHAEL PHELANCredential: M.D.

Location Address2525 RIVERSIDE AVEJacksonville, FL 32204-4710

Mailing AddressPo Box 25317Tampa, FL 33622-5317 · (813) 286-0033 · Fax (813) 282-1806

Phone(904) 388-0704

Fax(904) 387-9095

Sole ProprietorNo

Enumeration DateApril 5, 2006

Last NPPES UpdateFebruary 26, 20192 updates tracked since enumeration

✔ NPI 1639131584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME28633

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2525 RIVERSIDE AVE, Jacksonville, FL 32204

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Other Identifiers 1

Medicaid372361500FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Michael Phelan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAOMI E. RHODES A.R.N.P., C.N.M.

Advanced Practice Midwife

2525 RIVERSIDE AVE
JACKSONVILLE, FL 32204

Duval County (904) 388-0704

MS. LINDA A KRAMER ARNP

Nurse Practitioner (Obstetrics & Gynecology)

2525 RIVERSIDE AVE
JACKSONVILLE, FL 32204

Duval County (904) 388-0704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Phelan's NPI number?

The NPI number for Timothy Phelan is 1639131584. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Timothy Phelan located?

Timothy Phelan practices at 2525 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 388-0704.

What is Timothy Phelan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Timothy Phelan enrolled in Medicare?

Yes. Timothy Phelan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Phelan was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.