Individual provider Active NPI

Timothy Betz, MD

  • Pulmonary Disease Physician
  • Plano, TX
National Provider Identifier
1295797025
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
H4167 Issued in TX
Practice address
6100 Windcom CT
#102
Plano, TX 75093-7886
Phone
(972) 964-0170
Fax
(972) 596-8928
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X CDR.0004632 CO
Pulmonary Disease Physician 207RP1001X H4167 TX Primary

Addresses

Primary practice location

6100 Windcom CT
#102
Plano, TX 75093-7886

Mailing address

6100 Windcom CT
#102
Plano, TX 75093-7886
Phone (972) 964-0170

Other practice location 1

1010 Three Springs Blvd Ste 110
Durango, CO 81301-8296
Phone (970) 764-2750

Other identifiers 1

IdentifierTypeStateIssuer
131886706MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20040525000635 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 9931097680 Reassigns benefits to 2 organizations
I20210818003001 NM Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9931097680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Texas Southwestern Medical School at Dallas, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9100 E Mineral Cir
Centennial, CO 80112-3401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0004632COMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Sep 10, 2018 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Collin County Pulmonary Associates Pulmonary Disease CurrentSince Mar 8, 1989 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 10, 2018 Accepting new patients
Otero County Hospital Association CurrentSince Jul 1, 2021 Accepting new patients
Otero County Hospital Association CurrentSince Jul 1, 2021 Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2474 Indian Wells Rd
Ste B
Alamogordo, NM 88310
Phone (575) 434-6000

6100 Windcom Ct
Ste 102
Plano, TX 75093
Phone (972) 964-0170

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: timothy.betz.1@6965.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21001/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timothy.betz.1@21001.direct.athenahealth.com

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.

Hospital & facility affiliations 9

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1295797025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WINDCOM CT",
            "address_2": "#102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937886",
            "telephone_number": "972-964-0170",
            "fax_number": "972-596-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WINDCOM CT",
            "address_2": "#102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937886",
            "telephone_number": "972-964-0170",
            "fax_number": "972-596-8928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Three Springs Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-2750",
            "fax_number": "970-764-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETZ",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "CDR.0004632",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "H4167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131886706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.