Individual provider Active NPI

David Donald Timm, M.D.

  • Diagnostic Radiology Physician
  • Iron Mountain, MI
National Provider Identifier
1114121746
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301099873 Issued in MI
Practice address
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone
(906) 774-1313
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301099873 MI Primary
Diagnostic Radiology Physician 2085R0202X MD61635807 WA
Diagnostic Radiology Physician 2085R0202X 14280 HI

Addresses

Primary practice location

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637

Mailing address

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313

Other practice location 1

3220 Discovery Dr Ste 100
Lansing, MI 48910-8609
Phone (517) 975-8930

Other practice location 2

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other practice location 3

4660 S Hagadorn Rd Ste 510
East Lansing, MI 48823-6805
Phone (517) 884-7450

Other practice location 4

4660 S Hagadorn Rd Ste 410
East Lansing, MI 48823-6819
Phone (517) 884-6132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MT, WA, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20140416001537 MI Practitioner - Diagnostic Radiology 7113105263 Reassigns benefits to 2 organizations
I20191010000606 MT Practitioner - Diagnostic Radiology 7113105263 Reassigns benefits to 10 organizations
I20250509001073 WA Practitioner - Diagnostic Radiology 7113105263 Reassigns benefits to 9 organizations
I20250813002856 CA Practitioner - Diagnostic Radiology 7113105263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Okanogan County Public Hospital Dist No 4Group PAC ID 9335051150, shared by 4 NPIs, 43 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

Whitefish, MT 59937
Phone (425) 563-1500

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

1655 Whitefish Village Dr
Whitefish, MT 59937-8975
Phone (425) 563-1500

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442

515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699

640 2ND Ave E
Kalispell, MT 59901-5302
Phone (425) 563-1500

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14280HIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Apr 29, 2025 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Dec 22, 2025 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Apr 16, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Msu Health Care Inc. CurrentSince Mar 1, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
BTX Koi Inc CurrentSince Apr 1, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Apr 16, 2025 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Dec 23, 2025 Accepting new patients
Swedish Health Services CurrentSince Apr 29, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jun 1, 2025 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Apr 16, 2025 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Swedish Health Services CurrentSince Apr 29, 2025 Accepting new patients
Public Hospital District No 4, King County Wa Family Medicine CurrentSince May 5, 2025 Accepting new patients
County of Santa Clara CurrentSince Jul 1, 2025 Accepting new patients
Central Washington Health Services Association CurrentSince Apr 1, 2025 Accepting new patients
Msu Health Care Inc. Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Jul 1, 2025 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Jul 1, 2025 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince May 1, 2025 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince May 5, 2025 Accepting new patients
Radiology Associates of Iron Mountain P L C Diagnostic Radiology CurrentSince Apr 15, 2014 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince May 1, 2025 Accepting new patients
Quality Medical Imaging of Arizona, Inc CurrentSince Nov 30, 2020 Accepting new patients
Casper Teleradiology, PLLC Diagnostic Radiology Past Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology Past Accepting new patients
Georgia Radiology Imaging Consultants, LLC Diagnostic Radiology PastSince Feb 25, 2019 Accepting new patients

Locations (25 of 30)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132

4660 S Hagadorn Rd
Ste 510
East Lansing, MI 48823
Phone (517) 884-7450

4660 S Hagadorn Rd
Ste 405
East Lansing, MI 48823
Phone (517) 884-8600

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

1200 112th Ave NE
Ste B250
Bellevue, WA 98004
Phone (206) 386-6266

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

125 130th St SE
Everett, WA 98208
Phone (425) 341-4800

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1114121746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013637",
            "telephone_number": "906-774-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013637",
            "telephone_number": "906-774-1313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 Discovery Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489108609",
            "country_code": "US",
            "telephone_number": "517-975-8930",
            "fax_number": "517-337-4985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 510",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236805",
            "country_code": "US",
            "telephone_number": "517-884-7450",
            "fax_number": "517-884-7460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236819",
            "country_code": "US",
            "telephone_number": "517-884-6132",
            "fax_number": "517-884-6236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMM",
        "first_name": "DAVID",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301099873",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61635807",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "14280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.