NPIMap

Individual provider Active NPI

Timothy J Killeen, MD INC

  • Pulmonary Disease Physician
  • Temecula, CA
National Provider Identifier
1154426849
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G55364 Issued in CA
Practice address
29645 Rancho California Rd
226
Temecula, CA 92591-5211
Phone
(951) 694-4304
Fax
(951) 694-4307
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G55364 CA Primary

Addresses

Primary practice location

29645 Rancho California Rd
226
Temecula, CA 92591-5211

Mailing address

29645 Rancho California Rd
226
Temecula, CA 92591-5211
Phone (951) 694-4304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100416000368 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2163332511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Loma Linda University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temecula Valley Hospitalist Medical Group IncGroup PAC ID 8224252630, 26 clinicians

Practice addresses (Care Compare)

29645 Rancho California Rd
Temecula, CA 92591-5211
Phone (951) 694-4304

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

Hospital & facility affiliations

  • Mission Home Health of San Diego LLC Home health agency, San Diego, CA, CCN 557711
  • Advantage Health Systems Home health agency, Riverside, CA, CCN 059476
  • Valley Care Home Health Services, Inc Home health agency, Temecula, CA, CCN 058146
  • Excellence Home Health Provider, Inc Home health agency, Los Alamitos, CA, CCN 059389
  • Prominent Home Care Services, Inc. Home health agency, Tujunga, CA, CCN 757592
  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775
  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Valley Hospitalist Medical Group, Inc. CurrentSince Sep 17, 2014 Accepting new patients
Timothy J Killeen MD Inc Pulmonary Disease CurrentSince Dec 30, 2009 Accepting new patients

Locations

29645 Rancho California Rd
Ste 226
Temecula, CA 92591
Phone (951) 302-1122

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

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.

Hospital & facility affiliations 9

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1154426849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD",
            "address_2": "226",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915211",
            "telephone_number": "951-694-4304",
            "fax_number": "951-694-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD",
            "address_2": "226",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915211",
            "telephone_number": "951-694-4304",
            "fax_number": "951-694-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEEN",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD INC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G55364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.