Individual provider Active NPI

Timothy Mahon, M.D.

  • Emergency Medicine Physician
  • Lansing, MI
National Provider Identifier
1194012807
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301099350 Issued in MI
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 364-1000
NPI assigned
Jul 1, 2011
Last updated
Feb 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.207280 LA
Emergency Medicine Physician 207P00000X 4301099350 MI Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

5157 Navajo TRL
Pinckney, MI 48169-9397
Phone (517) 862-2933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160302002078 MI Practitioner - Emergency MedicinePractitioner - Family Practice 2365664729 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Helen Newberry Joy HospitalGroup PAC ID 5799671285, shared by 7 NPIs, 36 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207280LAMDEmergency Medicine Physician
4301099350MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital CurrentSince Mar 1, 2016 Accepting new patients
Portage Physician Practices Inc CurrentSince Sep 29, 2021 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Apr 22, 2024 Accepting new patients
Portage Physician Practices Inc Emergency Medicine CurrentSince Sep 29, 2021 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Jul 2, 2019 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Apr 22, 2024 Accepting new patients
Sparrow Ionia Hospital Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Hillsdale Emergency Physicians, P.C. Emergency Medicine CurrentSince Feb 5, 2020 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500

2110 S M 76
West Branch, MI 48661
Phone (989) 345-4884

Interoperability endpoints

  • Direct secure messaging: tmahon142704@mymichiganhealth.midirect.net

Organizations & group practices 11

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 2

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1194012807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5157 NAVAJO TRL",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699397",
            "telephone_number": "517-862-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-364-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.207280",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301099350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.