Active NPI
Timothy James Von Fange, MD
- Sports Medicine (Family Medicine) Physician
- Columbus, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 01068721A
- Practice address
- 2400 Northpark Dr Ste 10
Columbus, IN 47203-4467 - Phone
- (812) 376-0700
- Fax
- (812) 376-8625
- NPI assigned
- Feb 6, 2007
- Last updated
- Nov 21, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 01068721A | IN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 036-121122 | IL | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 01068721A | IN | Primary |
| Family Medicine Physician | 207Q00000X | 036-121122 | IL |
Addresses
Primary practice location
2400 Northpark Dr Ste 10
Columbus, IN 47203-4467
Mailing address
7951 Shoal Creek Blvd Ste 300
Austin, TX 78757-7582
Phone (512) 584-8404
Other practice location 1
455 S Landmark Ave
Bloomington, IN 47403-5004
Phone (812) 376-0700
Other practice location 2
747 E County Line Rd Ste J
Greenwood, IN 46143-1082
Phone (812) 376-0700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tvonfange11803@edirect.crh.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Northpark Dr
Suite 10
Columbus, IN 47203-4467
Phone (812) 376-0700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.97 of 100
- Quality
- 85.1
- Promoting interoperability
- 94.69
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-121122 | IL | MD | Family Medicine Physician |
| 01068721A | IN | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain and Aging Management LLC | Current | Accepting new patients | |
| Pain and Aging Management LLC | Current | Accepting new patients | |
| Columbus Regional Health Physicians, LLC | Family Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
455 S Landmark Ave
Bloomington, IN 47403
Phone (812) 269-7674
2400 Northpark Dr
Ste 10
Columbus, IN 47203
Phone (812) 376-0700
2400 Northpark Dr
Ste 20
Columbus, IN 47203
Phone (812) 376-0700
747 E County Line Rd
Greenwood, IN 46143
Phone (317) 528-8009
747 E County Line Rd
Ste J
Greenwood, IN 46143
Phone (317) 886-1529
7951 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wellspring Pain Solutions
- Pain Medicine Physician
- Columbus, IN
- NPI 1124100961
-
- Durable Medical Equipment & Medical Supplies
- Batesville, IN
- NPI 1093466344
-
- Family Medicine Physician
- Columbus, IN
- NPI 1902276488
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1154461739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7951 SHOAL CREEK BLVD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787577582",
"telephone_number": "512-584-8404",
"fax_number": "737-377-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 NORTHPARK DR STE 10",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472034467",
"telephone_number": "812-376-0700",
"fax_number": "812-376-8625"
}
],
"practiceLocations": [
{
"address_1": "455 S Landmark Ave",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474035004",
"country_code": "US",
"telephone_number": "812-376-0700",
"fax_number": "812-376-8625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "747 E County Line Rd Ste J",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "IN",
"postal_code": "461431082",
"country_code": "US",
"telephone_number": "812-376-0700",
"fax_number": "812-376-8625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VON FANGE",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "IN",
"license": "01068721A",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IL",
"license": "036-121122",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IN",
"license": "01068721A",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-121122",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tvonfange11803@edirect.crh.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2326 18th St Ste 130",
"city": "Columbus",
"state": "IN",
"country_code": "US",
"postal_code": "472015362",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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- Virtu30 Telehealth Services Corp
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- Vivera Senior Living of Columbus, LLC (Vivera Senior Living of Columbus)
- Kim Volland Littrell, RPH
- Volunteers of America of Indiana, Inc
- Vijaya K Vudathaneni, MD
- Lisa Jean Wagers, PT
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1371)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-4216)
- Wal-Mart Stores East, LP (Wal-Mart Pharmacy 10-4216)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.