NPIMap

Individual provider Active NPI

Timothy Victor Waxweiler, M.D.

  • Radiation Oncology Physician
  • Colorado Springs, CO
National Provider Identifier
1093005738
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
DR.0056707 Issued in CO
Practice address
525 Bob Peters GRV
Radiation Oncology
Colorado Springs, CO 80950-0001
Phone
(719) 365-6800
NPI assigned
Apr 14, 2011
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X DR.0056707 CO Primary

Addresses

Primary practice location

525 Bob Peters GRV
Radiation Oncology
Colorado Springs, CO 80950-0001

Mailing address

525 Bob Peters GRV
4080 Briargate Parkway
Colorado Springs, CO 80950-0001
Phone (719) 365-6800

Other practice location 1

4080 Briargate Parkway
Colorado Springs, CO 80920
Phone (719) 365-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160708001483 CO Practitioner - Radiation Oncology 1759522931 Reassigns benefits to 2 organizations
I20250305003992 WY Practitioner - Radiation Oncology 1759522931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Emory University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

1635 Aurora CT
Aurora, CO 80045-2541
Phone (720) 848-0000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0056707COMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Pulmonary Disease Current Accepting new patients
University Physicians, Incorporated CurrentSince Jul 5, 2016 Accepting new patients
Memorial Hospital of Laramie County CurrentSince Apr 28, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Pulmonary Disease CurrentSince Dec 20, 2018 Accepting new patients
University Physicians Incorporated CurrentSince Jul 5, 2016 Accepting new patients
Poudre Valley Medical Group, LLC Radiation Oncology PastSince Aug 30, 2020 Accepting new patients
Pikes Peak Radiation Oncology P.C. Radiation Oncology Past Accepting new patients
Poudre Valley Medical Group, LLC Radiation Oncology PastSince Sep 6, 2020 Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1635 Aurora Ct
Ste F752
Aurora, CO 80045
Phone (303) 366-0099

1665 Aurora Ct
Aurora, CO 80045
Phone (720) 848-0300

4080 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 365-5740

525 Bob Peters Grv
Ste 100
Colorado Springs, CO 80909
Phone (719) 365-6800

525 Bob Peters Grv
Ste 202
Colorado Springs, CO 80909
Phone (719) 365-6568

100 Cook St
Ste 102
Denver, CO 80206
Phone (970) 516-9413

Dept 1061
Denver, CO 80256

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1093005738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BOB PETERS GRV",
            "address_2": "4080 BRIARGATE PARKWAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809500001",
            "telephone_number": "719-365-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BOB PETERS GRV",
            "address_2": "RADIATION ONCOLOGY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809500001",
            "telephone_number": "719-365-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4080 Briargate Parkway",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80920",
            "country_code": "US",
            "telephone_number": "719-365-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAXWEILER",
        "first_name": "TIMOTHY",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": "DR.0056707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.