Individual provider Active NPI

Timothy Frederick Pingree, M.D.

  • Otolaryngology Physician
  • Lone Tree, CO
National Provider Identifier
1386734457
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
31455 Issued in CO
Practice address
10099 Ridgegate Pkwy
Suite 230
Lone Tree, CO 80124-5531
Phone
(303) 706-1616
Fax
(303) 706-0177
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 31455 CO Primary

Addresses

Primary practice location

10099 Ridgegate Pkwy
Suite 230
Lone Tree, CO 80124-5531

Mailing address

10099 Ridgegate Pkwy
Suite 230
Lone Tree, CO 80124-5531
Phone (303) 706-1616

Other identifiers 1

IdentifierTypeStateIssuer
01314558MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000860 CO Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 4981667417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of Utah School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Ear Nose and Throat PCGroup PAC ID 7012971559, 9 clinicians

Practice addresses (Care Compare)

9960 Sky Ridge Ave
Lone Tree, CO 80124-5644
Phone (303) 706-1616

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31455COMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Ear, Nose and Throat, P.C. Otolaryngology CurrentSince Jan 1, 2005 Accepting new patients
Advanced Ear, Nose & Throat, PC Otolaryngology PastSince Jan 1, 2014 Accepting new patients

Locations

10099 Ridgegate Pkwy
Ste 230
Lone Tree, CO 80124
Phone (303) 706-1616

9960 Sky Ridge Ave
Lone Tree, CO 80124
Phone (303) 706-1616

Organizations & group practices 2

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 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386734457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY",
            "address_2": "SUITE 230",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245531",
            "telephone_number": "303-706-1616",
            "fax_number": "303-706-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY",
            "address_2": "SUITE 230",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245531",
            "telephone_number": "303-706-1616",
            "fax_number": "303-706-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGREE",
        "first_name": "TIMOTHY",
        "middle_name": "FREDERICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "31455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01314558",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.