Individual provider Active NPI

Timothy J Felton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Golden Valley, MN
National Provider Identifier
1003966052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
606 Issued in MN
Practice address
5851 Duluth St
Suite 101
Golden Valley, MN 55422-3946
Phone
(763) 546-1718
Fax
(763) 546-1943
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 606 MN Primary

Addresses

Primary practice location

5851 Duluth St
Suite 101
Golden Valley, MN 55422-3946

Mailing address

5851 Duluth St
Suite 101
Golden Valley, MN 55422-3955
Phone (763) 546-1718

Other identifiers 1

IdentifierTypeStateIssuer
163936600MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000658 MN Practitioner - Podiatry 1850568973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Cities Foot and Ankle Clinic PAGroup PAC ID 7517020902, 2 clinicians

Practice addresses (Care Compare)

5851 Duluth St
Suite 101
Golden Valley, MN 55422-3955
Phone (763) 546-1718

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions1-10
Removal of nail tissue383
Removal or shaving of skin growth147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
606MNMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Foot and Ankle Clinic PA CurrentSince Jul 25, 1998 Accepting new patients
Hiawatha Surgery Center LLC PastSince Mar 7, 2018 Accepting new patients

Locations

5851 Duluth St
Minneapolis, MN 55422
Phone (612) 202-8703

5851 Duluth St
Ste 101
Minneapolis, MN 55422
Phone (612) 546-1718

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003966052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST",
            "address_2": "SUITE 101",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223955",
            "telephone_number": "763-546-1718",
            "fax_number": "763-546-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 DULUTH ST",
            "address_2": "SUITE 101",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554223946",
            "telephone_number": "763-546-1718",
            "fax_number": "763-546-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTON",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163936600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.