NPIMap

Individual provider Active NPI

Timothy A Queen, M.D.

  • Otolaryngic Allergy Physician
  • Newport News, VA
National Provider Identifier
1164422507
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
0101051871 Issued in VA
Practice address
11842 Rock Landing Dr Ste 100
Newport News, VA 23606-4437
Phone
(757) 873-0338
Fax
(757) 873-9579
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0101051871 VA
Otolaryngology Physician 207Y00000X 0101051871 VA
Otolaryngic Allergy Physician 207YX0602X 0101051871 VA Primary

Addresses

Primary practice location

11842 Rock Landing Dr Ste 100
Newport News, VA 23606-4437

Mailing address

11842 Rock Landing Dr.
Suite 100
Newport News, VA 23606
Phone (757) 873-0338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100826000287 VA Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 2961303086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
University of Virginia School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced ENT and Allergy, PCGroup PAC ID 9436458171, 2 clinicians

Practice addresses (Care Compare)

11842 Rock Landing Dr
Suite 100
Newport News, VA 23606-4437
Phone (757) 873-0338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as individual
Quality
85.58
Promoting interoperability
100
Improvement activities
40
Cost
66.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced ENT & Allergy, PC Otolaryngology CurrentSince Apr 1, 2016 Accepting new patients
Hampton Roads Otolaryngology Associates PLLC Past Accepting new patients

Locations

11842 Rock Landing Dr
Ste 100
Newport News, VA 23606
Phone (757) 873-0338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12840/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timothy.queen.1@12840.direct.athenahealth.com

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 5

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1164422507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR.",
            "address_2": "SUITE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-873-0338",
            "fax_number": "757-873-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-873-0338",
            "fax_number": "757-873-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101051871",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101051871",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "VA",
            "license": "0101051871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.