Active NPI
Timothy Rogers, MD
- Neonatal-Perinatal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 69284
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-6345
- Fax
- (602) 933-8975
- NPI assigned
- Apr 26, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35139275 | OH | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 35139275 | OH | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 69284 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-3124
Other practice location 1
6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 355-8100
Other practice location 2
433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 355-8300
Other practice location 3
7901 Diley Rd Ste 150
Canal Winchester, OH 43110-9613
Phone (614) 355-9050
Other practice location 4
4363 All Seasons Dr Ste 100
Hilliard, OH 43026-2050
Phone (614) 355-5900
Other practice location 5
100 Colemans Xing
Marysville, OH 43040-7080
Phone (937) 578-7600
Other practice location 6
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-4329
Other practice location 7
7450 Hospital Dr Ste 100
Dublin, OH 43016-8364
Phone (614) 355-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0470024 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Medical College of Wisconsin Affiliated Hospitals | Student in an Organized Health Care Education/Training Program | Past | Accepting new patients |
| Nationwide Children'S Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- Student in an Organized Health Care Education/Training Program
- Milwaukee, WI
- NPI 1164365714
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1275068355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850160008",
"telephone_number": "602-933-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-6345",
"fax_number": "602-933-8975"
}
],
"practiceLocations": [
{
"address_1": "6435 E Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432131507",
"country_code": "US",
"telephone_number": "614-355-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "433 N Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430828095",
"country_code": "US",
"telephone_number": "614-355-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7901 Diley Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Canal Winchester",
"state": "OH",
"postal_code": "431109613",
"country_code": "US",
"telephone_number": "614-355-9050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4363 All Seasons Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Hilliard",
"state": "OH",
"postal_code": "430262050",
"country_code": "US",
"telephone_number": "614-355-5900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Colemans Xing",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "OH",
"postal_code": "430407080",
"country_code": "US",
"telephone_number": "937-578-7600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Childrens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052664",
"country_code": "US",
"telephone_number": "614-722-4329",
"fax_number": "614-722-4380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7450 Hospital Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430168364",
"country_code": "US",
"telephone_number": "614-355-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "TIMOTHY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35139275",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "OH",
"license": "35139275",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AZ",
"license": "69284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0470024",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.