Individual provider Active NPI

Timothy James Von Fange, MD

  • Sports Medicine (Family Medicine) Physician
  • Columbus, IN
National Provider Identifier
1154461739
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
01068721A Issued in IN
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112000848 IN Practitioner - Family PracticePractitioner - Sports Medicine 6103992235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Aging Management LLCGroup PAC ID 0446291181, 7 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
036-121122ILMDFamily Medicine Physician
01068721AINMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Aging Management LLC CurrentSince Oct 1, 2025 Accepting new patients
Pain and Aging Management LLC CurrentSince Oct 1, 2025 Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine PastSince May 1, 2024 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.

Hospital & facility affiliations 1

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": "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": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.