Individual provider Active NPI

Timothy James Larkin, MD

  • Interventional Cardiology Physician
  • Beverly, MA
National Provider Identifier
1215975578
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
279224 Issued in MA
Practice address
75 Herrick St. Suite 206
Lahey Cardiology, Beverly
Beverly, MA 01915-5900
Phone
(978) 927-8400
Fax
(978) 922-1452
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 036078369 IL
Interventional Cardiology Physician 207RI0011X 279224 MA Primary

Addresses

Primary practice location

75 Herrick St. Suite 206
Lahey Cardiology, Beverly
Beverly, MA 01915-5900

Mailing address

75 Herrick St Ste 206
Beverly, MA 01915-5900
Phone (978) 927-8400

Other identifiers 2

IdentifierTypeStateIssuer
036078369MedicaidIL
060063131OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040601000228 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5991786329 Reassigns benefits to 6 organizations
I20190906002867 MA Practitioner - Interventional Cardiology 5991786329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Tufts University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians

Practice addresses (Care Compare)

29 Mall Rd
Burlington, MA 01805-0001

298 Washington St
Addison Gilbert
Gloucester, MA 01930-4832
Phone (978) 283-4000

41 Mall Rd
Burlington, MA 01805-0001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Hospital Association CurrentSince Aug 1, 2003 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Sep 1, 2010 Accepting new patients
Lahey Clinic, Inc. CurrentSince Aug 26, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2019 Accepting new patients
Edward Hospital CurrentSince Jun 30, 2001 Accepting new patients
Central Dupage Hospital Association CurrentSince Aug 1, 2003 Accepting new patients
Lahey Clinic, Inc CurrentSince Aug 26, 2019 Accepting new patients
Edward Hospital CurrentSince Jun 30, 2001 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Edward Cardiovascular Institute Past Accepting new patients
Midwest Heart Specialists, LTD Interventional Cardiology Past Accepting new patients
Edward Cardiovascular Institute Past Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

3825 Highland Ave
Ste 400
Downers Grove, IL 60515
Phone (630) 719-4799

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2100 S Finley Rd
Lombard, IL 60148
Phone (630) 495-4000

120 Spalding Dr
Ste 102
Naperville, IL 60540
Phone (630) 527-2802

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

852 S West St
Naperville, IL 60540
Phone (630) 305-5027

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722

954 W State St
Sycamore, IL 60178
Phone (815) 895-9144

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

75 Herrick St
Ste 206
Beverly, MA 01915
Phone (978) 927-8400

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: tlarkin127790@direct.bilh.masshiway.net

Organizations & group practices 16

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.

View all 16

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1215975578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST STE 206",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155900",
            "telephone_number": "978-927-8400",
            "fax_number": "978-922-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST. SUITE 206",
            "address_2": "LAHEY CARDIOLOGY, BEVERLY",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155900",
            "telephone_number": "978-927-8400",
            "fax_number": "978-922-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036078369",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "279224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078369",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060063131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.