Individual provider Active NPI

Timothy Craig Pringle, MD

  • Vascular Surgery Physician
  • Carrollton, TX
National Provider Identifier
1184613341
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
M8262 Issued in TX
Practice address
4541 N Josey LN Ste 140
Carrollton, TX 75010-4662
Phone
(972) 906-1055
Fax
(972) 956-0815
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35074962 OH
Vascular Surgery Physician 2086S0129X M8262 TX Primary

Addresses

Primary practice location

4541 N Josey LN Ste 140
Carrollton, TX 75010-4662

Mailing address

4541 N Josey LN Ste 140
Carrollton, TX 75010-4662
Phone (972) 906-1055

Other practice location 1

560 W Main St
Suite 200
Lewisville, TX 75057-3629
Phone (972) 906-1055

Other identifiers 1

IdentifierTypeStateIssuer
196274801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080602000388 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 8729059282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4541 N Josey LN
Suite 140
Carrollton, TX 75010-4662
Phone (972) 906-1055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8262TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy C. Pringle MD PA Vascular Surgery CurrentSince Nov 7, 2007 Accepting new patients
Timothy C Pringle MD PA Vascular Surgery CurrentSince Feb 1, 2008 Accepting new patients

Locations

4541 N Josey Ln
Ste 140
Carrollton, TX 75010
Phone (972) 906-1055

560 W Main St
Ste 200
Lewisville, TX 75057
Phone (972) 906-0011

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1184613341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 140",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104662",
            "telephone_number": "972-906-1055",
            "fax_number": "972-956-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 140",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104662",
            "telephone_number": "972-906-1055",
            "fax_number": "972-956-0815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 W Main St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750573629",
            "country_code": "US",
            "telephone_number": "972-906-1055",
            "fax_number": "972-956-0815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINGLE",
        "first_name": "TIMOTHY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35074962",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "M8262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196274801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.