Individual provider Active NPI

Timothy Adrian Connolly, M.D.

  • Pulmonary Disease Physician
  • Houston, TX
National Provider Identifier
1396798153
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
L3267 Issued in TX
Practice address
6560 Fannin St Ste 1632
Houston, TX 77030-2734
Phone
(713) 255-4000
Fax
(713) 255-4050
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X L3267 TX
Sleep Medicine (Internal Medicine) Physician 207RS0012X L3267 TX
Pulmonary Disease Physician 207RP1001X L3267 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 1632
Houston, TX 77030-2734

Mailing address

Dept 794
PO Box 4346
Houston, TX 77210-4346
Phone (713) 255-4000

Other identifiers 2

IdentifierTypeStateIssuer
8R1145OtherTXBLUE CROSS OF TEXAS PROV#
P00316349OtherTXRAILROAD MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060522000004 TX Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 3678584018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Georgetown University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6560 Fannin St
Suite 1632
Houston, TX 77030-2734
Phone (713) 255-4000

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193
  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Houston Methodist Continuing Care Hospital Long-term care hospital, Katy, TX, CCN 452118

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Critical Care and Sleep Medicine Consultants, LLP Critical Care Medicine CurrentSince Jul 10, 2006 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

6560 Fannin St
Ste 1632
Houston, TX 77030
Phone (713) 255-4000

6624 Fannin St
Ste 1730
Houston, TX 77030
Phone (713) 255-4000

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/58414
  • Direct secure messaging: timothyconnolly@pccsm.allscriptsdirect.net
  • Direct secure messaging: tconnolly20458@directhoustonmethodist.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1396798153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 794",
            "address_2": "PO BOX 4346",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-255-4000",
            "fax_number": "713-255-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1632",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302734",
            "telephone_number": "713-255-4000",
            "fax_number": "713-255-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "TIMOTHY",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "L3267",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "L3267",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L3267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TEXAS PROV#",
            "identifier": "8R1145",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00316349",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.