Timothy James Jaeger

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DR.0064694 Issued in CO

Practice address

80 Health Park Dr Ste 100
Louisville, CO 80027-4644

Phone

(303) 666-2720

Fax

(303) 666-2734

NPI assigned

Mar 21, 2017

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Boulder Medical Center, P.C.

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1306820923
  Medicare reassignment NPD
• Boulder Medical Center, P.C.

  • Urgent Care Clinic/Center
  • Boulder, CO
  • NPI 1114886587
  NPD
• Boulder Medical Center, P.C.

  • Multi-Specialty Clinic/Center
  • Longmont, CO
  • NPI 1144853904
  NPD
• Boulder Medical Center, P.C.

  • Multi-Specialty Clinic/Center
  • Erie, CO
  • NPI 1073146833
  NPD (past)
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Louisville, CO
  • NPI 1891709192
  NPD (past)
• Medical Center Pharmacy Inc

  • Community/Retail Pharmacy
  • Salt Lake City, UT
  • NPI 1861495160
  NPD (past)

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1124559398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043586",
            "telephone_number": "304-440-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HEALTH PARK DR STE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800274644",
            "telephone_number": "303-666-2720",
            "fax_number": "303-666-2734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 S Briggs St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805164062",
            "country_code": "US",
            "telephone_number": "303-666-2720",
            "fax_number": "303-666-2734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0064694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A Irlbeck, MS, ATC
• Michael A. Israelson, D.D.S.
• J Coffey Counseling LLC
• J. Schumann Physical Therapy, PLLC
• Samuel Jacobowitz, MD
• James Camp PLLC
• Jeremy James, PA-C
• Jayma Lynne Jamieson, MA
• Elyssa Jampolsky, PSYD
• Jane Sutliff, PH.D., LLC

• Pediatrics Physician in Louisville, CO
• Providers in Louisville, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.