Active NPI
Timothy P. Gleason, MD
- Diagnostic Radiology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00032138
- Practice address
- 1145 Broadway
Seattle, WA 98122-4201 - Phone
- (206) 719-6069
- NPI assigned
- Jun 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0368767 | Other | WA | L&I-RADIA REST OF WA |
| 0405705 | Other | WA | L&I-SEATTLE RADIOLOGY |
| 1008913 | Medicaid | WA | |
| 0368770 | Other | WA | L&I-EVERGREEN RADIA |
| 0368768 | Other | WA | L&I-RADIA KING CTY |
| 0368769 | Other | WA | L&I-SWEDISH RADIA EDMONDS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Columbia County Hospital DistrictThe Polyclinic PLLCInland Imaging Associates PSInland Imaging LLCIntegra Imaging PS
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
- St. Patrick Hospital
- Prov Sacred HRT Med Ctr & Childs Hosp.
- Kadlec Regional Medical Center
- Providence St Mary Medical Center
- Providence Holy Family Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00032138 | WA | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia County Hospital District | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Inland Imaging Associates PS | Diagnostic Radiology | Current | Accepting new patients |
| Integra Imaging, PS | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan Douglas County Hospital Dist1 | Current | Accepting new patients | |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Grant County Public Hospital District 2 | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Inland Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Grant County Public Hospital District 3 | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Columbia County Hospital District | Current | Accepting new patients | |
| The Polyclinic | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Integra Imaging, PS | Diagnostic Radiology | Current | Accepting new patients |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Eastern Radiological Associates PC | Pediatric Radiology | Current | Accepting new patients |
| Clallam County Public Hospital District 2 | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Olympic Medical Imaging Consultants, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Medical Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 53)
10 Little Brook Rd
West Wareham, MA 02576
2900 12th Ave N
Ste 4E
Billings, MT 59101
Phone (406) 245-6378
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512
2740 South Ave W
Ste 103
Missoula, MT 59804
2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010
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
7320 216th St SW
Ste 120
Edmonds, WA 98026
Phone (425) 673-3930
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330
3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903
3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123
1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000
751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000
12303 NE 130th Ln
Ste 400
Kirkland, WA 98034
Phone (425) 450-7007
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
Interoperability endpoints
- https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
Organizations & group practices 30
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.
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1982236469
Diagnostic Radiology, MT, WA
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1851352348
Diagnostic Radiology, MT, WA
-
- Emergency Medical Services (Emergency Medicine) Physician
- Quincy, WA
- NPI 1659445468
WA
-
- Emergency Medical Services (Emergency Medicine) Physician
- Ephrata, WA
- NPI 1134283930
WA
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
Diagnostic Radiology, WA
-
- Diagnostic Ultrasound Physician
- Billings, MT
- NPI 1639102171
MT, Pediatric Radiology, WA
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1225289895
Hospital
-
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
Hospital
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-RADIA REST OF WA",
"identifier": "0368767",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-SEATTLE RADIOLOGY",
"identifier": "0405705",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008913",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-EVERGREEN RADIA",
"identifier": "0368770",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-RADIA KING CTY",
"identifier": "0368768",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I-SWEDISH RADIA EDMONDS",
"identifier": "0368769",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.