Timothy D Nichols, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

J1744 Issued in TX

Practice address

12606 Greenville Ave
Suite 160
Dallas, TX 75243-1921

Phone

(469) 364-7880

Fax

(469) 364-7895

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Radiation Oncology

Education

University of Maryland School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology Clinics of North Texas, PLLCGroup PAC ID 5496736415, 72 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.14 of 100Reported as group

Quality

97.48

Promoting interoperability

100

Improvement activities

40

Cost

69.64

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.nichols.p1@direct.urologyclinics.nextgenshare.com

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.

• Urology Clinics of North Texas, PLLC

  • Urology Physician
  • Dallas, TX
  • NPI 1720031370

  Radiation Oncology

  Medicare reassignment Care Compare group NPD
• Timothy D Nichols, M.D.P.a.

  • Specialist
  • Dallas, TX
  • NPI 1376776187
  Authorized official Same address or phone
• Urology Clinics of North Texas, PLLC

  • Urology Physician
  • Plano, TX
  • NPI 1114186616

  Radiation Oncology

  NPD
• Urology Clinics of North Texas, PLLC

  • Specialist
  • Grapevine, TX
  • NPI 1780971549
  NPD
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)
• Pro Physicians Clinic PA

  • Radiation Oncology Physician
  • Fort Worth, TX
  • NPI 1609020031
  NPD (past)
• Rosa of North Dallas LLC

  • Radiation Oncology Physician
  • Dallas, TX
  • NPI 1780952267
  NPD (past)
• Texas Cancer Associates

  • Specialist
  • Plano, TX
  • NPI 1457522013
  NPD (past)
• Texas Cancer Associates LLP

  • Hematology & Oncology Physician
  • Dallas, TX
  • NPI 1417946328
  NPD (past)
• Urology Clinics of North Texas PLLC

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1528237260
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1093752073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797885",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753797885",
            "telephone_number": "940-626-0059",
            "fax_number": "940-627-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE",
            "address_2": "SUITE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "469-364-7880",
            "fax_number": "469-364-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1744",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "J1744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126533203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920003991",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Nichols, PHD.
• Kelly Amanda Merritt Nichols, CRNA, DNP
• Lelia Lagrasse Nichols, NP
• Mabry Elizabeth Nichols
• Tiffany Renae Nichols
• Danielle Page Nicholson, OTR/L, OTD
• Sharon Nicholson, LBSW
• Janice Nici, PH.D.
• Brenda Joyce Nickel, PA-C
• Janessa Lynn Nickel, PMHNP

• Radiation Oncology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.