Individual provider Active NPI

Timothy Francis Timmons, D.O.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1053468249
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R9450 Issued in TX
Practice address
2053 Western Village LN
Houston, TX 77043-2704
Phone
(917) 412-0808
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 215148 NY
Pediatrics Physician 208000000X 215148 NY
Internal Medicine Physician 207R00000X R9450 TX Primary

Addresses

Primary practice location

2053 Western Village LN
Houston, TX 77043-2704

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (206) 764-3335

Other identifiers 1

IdentifierTypeStateIssuer
02529748MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080828000104 WA Practitioner - Internal Medicine 4688662539 Reassigns benefits to 1 organization
I20190918000238 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4688662539 Reassigns benefits to 1 organization
I20200324000269 AZ Practitioner - Osteopathic Manipulative Medicine 4688662539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians

Practice addresses (Care Compare)

14045 Memorial Dr
Houston, TX 77079-6826
Phone (832) 548-4410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
215148NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Current Accepting new patients
Sea Mar Community Health Centers Pediatrics CurrentSince Jun 2, 2009 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Mar 5, 2020 Accepting new patients
Houston Carenow Urgent Care PLLC CurrentSince Oct 1, 2023 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Mar 5, 2020 Accepting new patients
Sea Mar Community Health Centers CurrentSince Jun 2, 2009 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Dr Shih Wang Physician PC Internal Medicine PastSince Nov 14, 2009 Accepting new patients
Dr Jingbo Liu Physician PC Internal Medicine Past Accepting new patients

Locations (25 of 50)

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

6702 W Bethany Home Rd
Ste 1315
Glendale, AZ 85303
Phone (623) 435-7000

4232 W Bell Rd
Glendale, AZ 85308
Phone (602) 639-4535

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

407 N Lindsay Rd
Ste 103
Mesa, AZ 85213
Phone (480) 807-0084

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

7611 W Cactus Rd
Peoria, AZ 85381
Phone (623) 242-0049

21980 N 83rd Ave
Peoria, AZ 85383
Phone (623) 465-6375

9111 N 7th St
Phoenix, AZ 85020
Phone (602) 255-7670

Organizations & group practices 9

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1053468249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "206-764-3335",
            "fax_number": "206-764-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 WESTERN VILLAGE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432704",
            "telephone_number": "917-412-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "TIMOTHY",
        "middle_name": "FRANCIS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215148",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "215148",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R9450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02529748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.