Individual provider Active NPI

Timothy C. Sloan, MD

  • Diagnostic Radiology Physician
  • New Bern, NC
National Provider Identifier
1306828207
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9801499 Issued in NC
Practice address
720 Newman Rd
New Bern, NC 28562-5238
Phone
(252) 633-5057
Fax
(252) 633-0084
NPI assigned
Nov 16, 2005
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 9801499 NC
Therapeutic Radiology Physician 2085R0203X 9801499 NC
Vascular & Interventional Radiology Physician 2085R0204X 9801499 NC
Radiological Physics Physician 2085R0205X 9801499 NC
Diagnostic Ultrasound Physician 2085U0001X 9801499 NC
Diagnostic Radiology Physician 2085R0202X 9801499 NC Primary
Nuclear Radiology Physician 2085N0904X 9801499 NC
Nuclear Medicine Physician 207U00000X 9801499 NC
Body Imaging Physician 2085B0100X 9801499 NC
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 9801499 NC
Neuroradiology Physician 2085N0700X 9801499 NC
Pediatric Radiology Physician 2085P0229X 9801499 NC

Addresses

Primary practice location

720 Newman Rd
New Bern, NC 28562-5238

Mailing address

PO Box 12065
New Bern, NC 28561-2065
Phone (252) 633-5057

Other identifiers 6

IdentifierTypeStateIssuer
C7539OtherNCMEDCOST
131H4OtherNCBCBS OF NC
760158OtherNCMAMSI
149541OtherNCVYTRA
153000500OtherNCDOL
89131H4MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20060928000613 NC Practitioner - Diagnostic Radiology 4789689530 Reassigns benefits to 3 organizations
I20160620002055 SC Practitioner - Diagnostic Radiology 4789689530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wake Forest University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians

Practice addresses (Care Compare)

1000 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1020 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 514-6685

1030 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 638-2273

1165 Cedar Point Blvd
Suite I
Cedar Point, NC 28584-1030
Phone (336) 274-6682

121 Memorial Dr
Jacksonville, NC 28546-6329
Phone (336) 274-6682

1331 N Elm St
Greensboro, NC 27401-6304
Phone (336) 274-6682

138 Great Oak Dr
Hampstead, NC 28443-2142
Phone (336) 274-6682

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (336) 274-6682

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (336) 274-6682

900 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 639-5959

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9801499NCMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Palmetto Pathology PA Past Accepting new patients

Locations

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

1030 Medical Park Ave
New Bern, NC 28562
Phone (252) 637-5480

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

720 Newman Rd
New Bern, NC 28562
Phone (252) 638-1158

722 Newman Rd
New Bern, NC 28562
Phone (828) 884-3424

1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1306828207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12065",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612065",
            "telephone_number": "252-633-5057",
            "fax_number": "252-633-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625238",
            "telephone_number": "252-633-5057",
            "fax_number": "252-633-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "TIMOTHY",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "9801499",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NC",
            "license": "9801499",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "9801499",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "NC",
            "license": "9801499",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NC",
            "license": "9801499",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9801499",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NC",
            "license": "9801499",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NC",
            "license": "9801499",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NC",
            "license": "9801499",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NC",
            "license": "9801499",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "9801499",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NC",
            "license": "9801499",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C7539",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "131H4",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "760158",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "149541",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "153000500",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131H4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.