Individual provider Active NPI

Timothy F Ragsdale, M.D.

  • Otolaryngology Physician
  • Bedford, TX
National Provider Identifier
1205829959
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
N2744 Issued in TX
Practice address
1615 Hospital Pkwy
Suite 210
Bedford, TX 76022-5934
Phone
(817) 540-3121
Fax
(817) 355-4511
NPI assigned
Aug 29, 2005
Last updated
Nov 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X N2744 TX Primary

Addresses

Primary practice location

1615 Hospital Pkwy
Suite 210
Bedford, TX 76022-5934

Mailing address

1615 Hospital Pkwy
Suite 210
Bedford, TX 76022-5934
Phone (817) 540-3121

Other identifiers 8

IdentifierTypeStateIssuer
3891058MedicaidTN
4086723OtherTNBLUE CROSS BLUE SHIELD
62089728905OtherTNUHC RIVER VALLEY
64098965MedicaidKY
7689535OtherTNAETNA
000000363275OtherKYANTHEM BLUE CROSS
100045915OtherTNPHP TENNCARE
000000049993OtherKYBLUEGRASS

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
I20090629000127 TX Practitioner - Otolaryngology 6608859376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Tennessee, HSC, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ear, Nose and Throat Specialists, L.L.P.Group PAC ID 9133150691, 11 clinicians

Practice addresses (Care Compare)

1615 Hospital Pkwy
Suite 210
Bedford, TX 76022-5936
Phone (817) 540-3121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.85 of 100Reported as group
Quality
100
Promoting interoperability
88
Improvement activities
40
Cost
66.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N2744TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ear, Nose & Throat Specialists, L.L.P. CurrentSince Jul 1, 2009 Accepting new patients
Summit Medical Center Past Accepting new patients
East Tennessee Ear, Nose & Throat Specialists, PC Otolaryngology PastSince Jul 8, 1991 Accepting new patients
East Tennessee Ear, Nose & Throat Specialists, PC Otolaryngology Past Accepting new patients

Locations

1615 Hospital Pkwy
Ste 210
Bedford, TX 76022
Phone (817) 540-3121

4320 Windsor Centre Trl
Ste 200
Flower Mound, TX 75028
Phone (972) 691-0368

2813 W Southlake Blvd
Ste 150
Southlake, TX 76092
Phone (817) 835-9289

905 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 809-2400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDGCD

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 3

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1205829959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY",
            "address_2": "SUITE 210",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225934",
            "telephone_number": "817-540-3121",
            "fax_number": "817-355-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY",
            "address_2": "SUITE 210",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225934",
            "telephone_number": "817-540-3121",
            "fax_number": "817-355-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGSDALE",
        "first_name": "TIMOTHY",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "N2744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3891058",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4086723",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC RIVER VALLEY",
            "identifier": "62089728905",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64098965",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7689535",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000363275",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TENNCARE",
            "identifier": "100045915",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS",
            "identifier": "000000049993",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.