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
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

Other identifiers 6

IdentifierTypeStateIssuer
0368767OtherWAL&I-RADIA REST OF WA
0405705OtherWAL&I-SEATTLE RADIOLOGY
1008913MedicaidWA
0368770OtherWAL&I-EVERGREEN RADIA
0368768OtherWAL&I-RADIA KING CTY
0368769OtherWAL&I-SWEDISH RADIA EDMONDS

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
Columbia County Hospital District 55 clinicians
The Polyclinic PLLC 364 clinicians
Inland Imaging Associates PS 124 clinicians
Inland Imaging LLC 128 clinicians
Integra Imaging PS 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

  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
  • Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00032138WAMDPediatric Radiology Physician

Practice roles

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

  • FHIR API: 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.

View all 30

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": [
        {
            "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

Verify at the official NPI Registry.