Individual provider Active NPI

Timothy P. Gleason, MD

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1376570432
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00032138 Issued in WA
Practice address
1145 Broadway
Seattle, WA 98122-4201
Phone
(206) 719-6069
NPI assigned
Jun 26, 2006
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00032138 WA Primary
Pediatric Radiology Physician 2085P0229X MD00032138 WA

Addresses

Primary practice location

1145 Broadway
Seattle, WA 98122-4201

Mailing address

1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 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
I20050907000791 WA Practitioner - Diagnostic Radiology 2466484704 Reassigns benefits to 13 organizations
I20230721001158 MT Practitioner - Diagnostic Radiology 2466484704 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians
Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians
Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians
Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians

Practice addresses (Care Compare)

1012 S 3Rd St
Dayton, WA 99328-1606
Phone (509) 382-2531

1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760

1200 12TH Ave S
Seattle, WA 98144-2712
Phone (509) 363-7788

2419 Mullan Rd
Suite D
Missoula, MT 59808-1856
Phone (509) 363-7788

2740 S Ave W
Suite 103
Missoula, MT 59804-5137
Phone (509) 363-7788

525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 747-4455

801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 363-7745

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00032138WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic CurrentSince Jan 11, 2024 Accepting new patients
Columbia County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Grant County Public Hospital District 3 CurrentSince Dec 5, 2025 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince Apr 20, 2024 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 21, 2023 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince Aug 13, 2023 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Jul 1, 2023 Accepting new patients
Eastern Radiological Associates PC Pediatric Radiology CurrentSince Jul 1, 2023 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Grant County Public Hospital District 2 CurrentSince Sep 24, 2023 Accepting new patients
Wenatchee Valley Hospital CurrentSince Mar 1, 2019 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 21, 2023 Accepting new patients
The Polyclinic PLLC CurrentSince Jan 11, 2024 Accepting new patients
Columbia County Hospital District CurrentSince Jul 9, 2023 Accepting new patients
Inland Imaging LLC Diagnostic Radiology CurrentSince Oct 22, 2023 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Jul 1, 2023 Accepting new patients
Inland Imaging Associates PS Diagnostic Radiology CurrentSince Dec 5, 2023 Accepting new patients
Advanced Medical Imaging, LLC Diagnostic Radiology Past Accepting new patients
Empire Health Services Past Accepting new patients
Multicare Health System Past Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients
Olympic Medical Imaging Consultants, PLLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 53)

10 Little Brook Rd
West Wareham, MA 02576

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

2900 12th Ave N
Ste 4E
Billings, MT 59101
Phone (406) 245-6378

2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512

2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010

2740 South Ave W
Ste 103
Missoula, MT 59804

500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

7320 216th St SW
Ste 120
Edmonds, WA 98026
Phone (425) 673-3930

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12303 NE 130th Ln
Ste 400
Kirkland, WA 98034
Phone (425) 450-7007

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 8

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1376570432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224201",
            "telephone_number": "206-329-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224201",
            "telephone_number": "206-719-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "TIMOTHY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00032138",
            "primary": true
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "WA",
            "license": "MD00032138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.