Active NPI
Timothy B Donovan Sr., MD
- Diagnostic Radiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 27555
- Practice address
- 3600 Minnesota Dr Ste 800
Edina, MN 55435-7915 - Phone
- (952) 595-1100
- Fax
- (612) 294-4903
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 27555 | TN | Primary |
Addresses
Primary practice location
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Mailing address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100
Other practice location 1
6401 Poplar Ave Ste 220
Memphis, TN 38119-4884
Phone (901) 685-2696
Other practice location 2
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3851595 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Tennessee, HSC, College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Brentwood, TN 37027
Phone (903) 663-4800
101 Iroquois CT
Nashville, TN 37205-3809
Phone (281) 870-4592
161 Dubray Creek CV
Collierville, TN 38017-3960
Phone (302) 645-3636
210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-2191
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
- Merit Health Natchez
- Kentucky River Medical Center
- Tristar Centennial Medical Center
- Cox Medical Centers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Radiology Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Muncie, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Palm Desert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Memphis Physicians Radiological Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Fred Smeltzer MD & Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| Warren General Hospital | Current | Accepting new patients | |
| Warren General Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Ton San Simon Health Center | Current | Accepting new patients | |
| Olean General Hospital | Current | Accepting new patients | |
| Memphis Radiological, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Salt River Pima-Maricopa Indian Community | Current | Accepting new patients | |
| Ton Sells Hospital | Current | Accepting new patients | |
| Salt River Pima-Maricopa Indian Community | Current | Accepting new patients | |
| Olean General Hospital | Current | Accepting new patients | |
| Remlo | Diagnostic Radiology | Current | Accepting new patients |
| Ton San Xavier Health Center | Current | Accepting new patients | |
| Virtual Radiologic Professionals, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Memphis Radiological, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Southern Delaware Imaging Assoc | Diagnostic Radiology | Current | Accepting new patients |
| Ozarks Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| Ton San Xavier Health Center | Past | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| GMG Health Systems Associates PA | Past | Accepting new patients | |
| Southwest Diagnostic Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Wishon Radiological Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Memphis Radiological, PC | Past | Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients |
Locations (25 of 51)
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
10901 E McDowell Rd
Scottsdale, AZ 85256
Phone (480) 278-7742
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700
10 Little Brook Rd
West Wareham, MA 02576
11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143
3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Interoperability endpoints
- tdonovan33956@mlh.direct-ci.com
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.
-
- Diagnostic Radiology Physician
- Memphis, TN
- NPI 1134231574
-
- Diagnostic Radiology Physician
- Rancho Mirage, CA
- NPI 1124079868
TN
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1861478489
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
TN
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology, TN
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
-
- Critical Access Hospital
- Jackson, KY
- NPI 1346247962
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- General Acute Care Hospital
- Natchez, MS
- NPI 1164821559
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1144223306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR STE 800",
"city": "EDINA",
"state": "MN",
"postal_code": "554357915",
"telephone_number": "952-595-1100",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR STE 800",
"city": "EDINA",
"state": "MN",
"postal_code": "554357915",
"telephone_number": "952-595-1100",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [
{
"address_1": "6401 Poplar Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381194884",
"country_code": "US",
"telephone_number": "901-685-2696",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "39000 Bob Hope Dr",
"address_purpose": "LOCATION",
"city": "Rancho Mirage",
"state": "CA",
"postal_code": "922703221",
"country_code": "US",
"telephone_number": "760-340-3911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONOVAN",
"first_name": "TIMOTHY",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "27555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3851595",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.
- 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.