Active NPI
Timothy John Georgelas, MD
- Diagnostic Radiology Physician
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G2140
- Practice address
- 403 W Campbell Rd
Suite 201
Richardson, TX 75080-3465 - Phone
- (972) 498-4000
- NPI assigned
- Apr 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G2140 | TX | Primary |
Addresses
Primary practice location
403 W Campbell Rd
Suite 201
Richardson, TX 75080-3465
Mailing address
PO Box 1888
Greenville, TX 75403
Phone (800) 945-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8U5020 | Other | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 204-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G2140 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| GMN Associates | Diagnostic Radiology | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| GMN Associates | Diagnostic Radiology | Current | Accepting new patients |
| Texas Tech University Health Sciences Center | Current | Accepting new patients | |
| US Radiology Partners of Texas Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535
2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000
403 W Campbell Rd
Ste 205
Richardson, TX 75080
Phone (972) 498-8620
Organizations & group practices 6
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.
-
dba Prestige Women's Imaging
- Diagnostic Radiology Physician
- Richardson, TX
- NPI 1134205768
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Diagnostic Radiology Physician
- Carrollton, TX
- NPI 1962467647
-
- Obstetrics & Gynecology Physician
- El Paso, TX
- NPI 1790238848
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1083738199
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Richardson Medical Center
- General Acute Care Hospital
- Richardson, TX
- NPI 1033165501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1184688970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1888",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "75403",
"telephone_number": "800-945-2455",
"fax_number": "903-453-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W CAMPBELL RD",
"address_2": "SUITE 201",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803465",
"telephone_number": "972-498-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGELAS",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "G2140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8U5020",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.