Individual provider Active NPI

Timothy B Donovan Sr., MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1144223306
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27555 Issued in TN
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

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3851595MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080422000872 MS Practitioner - Diagnostic Radiology 1052401247 Reassigns benefits to 1 organization
I20111018000186 TN Practitioner - Diagnostic Radiology 1052401247 Reassigns benefits to 15 organizations
I20240327003949 TX Practitioner - Diagnostic Radiology 1052401247 Reassigns benefits to 6 organizations

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
Radiology Associates of Muncie IncGroup PAC ID 3577476100, 57 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Southern Delaware Imaging AssocGroup PAC ID 0547159709, 43 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Regents of the University of CaliforniaGroup PAC ID 3577476761, 2,047 clinicians
Warren General HospitalGroup PAC ID 4880501402, 100 clinicians
Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians
RemloGroup PAC ID 5193800258, 32 clinicians
Fred Smeltzer MD and Associates IncGroup PAC ID 8921078304, 95 clinicians
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians

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 Hospital, Syracuse, NY, CCN 330241
  • Merit Health Natchez Hospital, Natchez, MS, CCN 250084
  • Kentucky River Medical Center Hospital, Jackson, KY, CCN 181334
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Radiology Services LLC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince May 23, 2024 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Nov 13, 2024 Accepting new patients
Radiology Associates of Muncie, Inc. Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 18, 2025 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Sep 13, 2024 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Mar 15, 2024 Accepting new patients
Warren General Hospital CurrentSince Feb 4, 2025 Accepting new patients
Warren General Hospital Diagnostic Radiology CurrentSince Feb 4, 2025 Accepting new patients
Ton San Simon Health Center CurrentSince Mar 15, 2024 Accepting new patients
Olean General Hospital CurrentSince Sep 8, 2025 Accepting new patients
Memphis Radiological, P.C. Diagnostic Radiology CurrentSince Jun 1, 2000 Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Jul 1, 2024 Accepting new patients
Ton Sells Hospital CurrentSince Mar 15, 2024 Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Jul 1, 2024 Accepting new patients
Olean General Hospital Current Accepting new patients
Remlo Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 15, 2024 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Memphis Radiological, P.C. Diagnostic Radiology CurrentSince Jun 1, 2000 Accepting new patients
Southern Delaware Imaging Assoc Diagnostic Radiology CurrentSince Mar 1, 2026 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

  • Direct secure messaging: 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.

View all 34

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.