Active NPI
Timothy George Larson, M.D.
- Hematology & Oncology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 38013
- Practice address
- 910 E 26TH St
Suite 200
Minneapolis, MN 55404-4526 - Phone
- (612) 884-6300
- Fax
- (612) 884-6363
- NPI assigned
- Sep 29, 2006
- Last updated
- Oct 27, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 38013 | MN | Primary |
Addresses
Primary practice location
910 E 26TH St
Suite 200
Minneapolis, MN 55404-4526
Mailing address
910 E 26TH St
Suite 200
Minneapolis, MN 55404-4526
Phone (612) 884-6300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3601103 | Other | MN | MEDICA |
| 7K142LA | Other | MN | BLUE CROSS BLUE SHIELD |
| 892718900 | Medicaid | MN | |
| 1009049 | Other | MN | PREFERRED ONE |
| 3601103 | Other | MN | SELECT CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of California, San Francisco School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1654 Diffley Rd
Suite 100
Eagan, MN 55122-2237
Phone (651) 641-3900
205 Wabasha Ave S
Saint Paul, MN 55107-1805
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7400
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 291-2848
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456
8325 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5868
8450 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5300
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.19 of 100
- Quality
- 72.34
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38013 | MN | MD | Hematology & Oncology Physician |
| 5947 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Oncology Hematology, PA | Hematology & Oncology | Current | Accepting new patients |
| Minnesota Oncology Hematology, PA | Hematology & Oncology | Current | Accepting new patients |
| Group Health, Inc. | Current | Accepting new patients | |
| Minnesota Oncology Hematology PA | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Hematology & Oncology | Past | Accepting new patients |
| Minnesota Oncology Hematology, PA | Past | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Hematology & Oncology | Past | Accepting new patients |
Locations
1175 Paysphere Cir
Chicago, IL 60674
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300
910 E 26th St
Ste 200
Minneapolis, MN 55404
Phone (612) 884-6300
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
3300 Oakdale Ave N
Ste 100
Robbinsdale, MN 55422
Phone (612) 520-5155
3435 W Broadway Ave
Robbinsdale, MN 55422
Phone (763) 520-7887
310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
Interoperability endpoints
- timothy.larson@moh.ikm.direct-ci.com
Organizations & group practices 8
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.
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1528035995
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
dba MN Cancer Care Pharmacy
- Community/Retail Pharmacy
- Maple Grove, MN
- NPI 1811601123
-
- Hematology & Oncology Physician
- Burnsville, MN
- NPI 1467595868
-
- Hematology & Oncology Physician
- Minneapolis, MN
- NPI 1518000918
-
- Radiation Oncology Physician
- Saint Paul, MN
- NPI 1598305427
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1609911205
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HealthPartners Specialty Center Woodbury
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
-
dba Regions Hospital Rehabilitation
- Rehabilitation Clinic/Center
- Saint Paul, MN
- NPI 1134157092
Hospital
-
dba HealthPartners Surgery Center
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1306873872
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1629006457
-
dba HealthPartners Cancer Care at Lakeview Hospital
- General Acute Care Hospital
- Stillwater, MN
- NPI 1679391122
-
dba HealthPartners Medical Transportation
- Land Ambulance
- Saint Paul, MN
- NPI 1871929976
Hospital
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1962149419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1326130204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 E 26TH ST",
"address_2": "SUITE 200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044526",
"telephone_number": "612-884-6300",
"fax_number": "612-884-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E 26TH ST",
"address_2": "SUITE 200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044526",
"telephone_number": "612-884-6300",
"fax_number": "612-884-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "TIMOTHY",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MN",
"license": "38013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "3601103",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "7K142LA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892718900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1009049",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT CARE",
"identifier": "3601103",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.