Active NPI
Timothy Martin, MD
- Specialist
- Reno, NV
National Provider Identifier
1154413458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3584
- Practice address
- 590 Eureka Ave
Reno, NV 89512-3425 - Phone
- (775) 323-5083
- NPI assigned
- Sep 28, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 3584 | NV | Primary |
Addresses
Primary practice location
590 Eureka Ave
Reno, NV 89512-3425
Mailing address
PO Box 60000
Los Angeles, CA 90060-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Consultants, LTD. | Past | Accepting new patients | |
| Elko Diagnostic Imaging LLC | Specialist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Elko, NV
- NPI 1528166196
-
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1285735571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1154413458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60000",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900606000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 EUREKA AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895123425",
"telephone_number": "775-323-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TIMOTHY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "3584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.