Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tim C Kisabeth, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1851384796

Dr. Tim C Kisabeth, MD is an Obstetrics/Gynecology in Jerseyville, Illinois. Graduated from Ohio Medical University in 1982, 44 years ago. Practices with Jersey Community Hospital, a 62-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
44
Trained at
Ohio Medical University
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

270 Maple Summit Rd
Jerseyville, IL 62052
Phone: (618) 498-4166
Fax: (618) 639-7997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036-073254 (IL)

Record details

NPI number1851384796
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address390 Maple Summit Rd, Jerseyville, IL 62052-2000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOHIO MEDICAL UNIVERSITY
Graduated 1982 (44 years in practice)
Group practice Jersey Community Hospital — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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