Active NPI
Timothy M Crowley, M.D.
- Ophthalmology Physician
- Evansville, IN
National Provider Identifier
1407851371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01029433
- Practice address
- 4405 Bellemeade Ave
Ste 101
Evansville, IN 47714-0682 - Phone
- (812) 474-1010
- Fax
- (812) 485-2476
- NPI assigned
- Jun 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01029433 | IN | Primary |
Addresses
Primary practice location
4405 Bellemeade Ave
Ste 101
Evansville, IN 47714-0682
Mailing address
4405 Bellemeade Ave
Ste 101
Evansville, IN 47714-0682
Phone (812) 474-1010
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200316700 | Medicaid | IN | |
| 231380 | Other | IN | MEDICARE |
| 180040683 | Other | IN | RAILROAD MEDICARE |
| 000000181187 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01029433 | IN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyesite Optical | Ophthalmology | Current | Accepting new patients |
Locations
4405 Bellemeade Ave
#101
Evansville, IN 47714
Phone (812) 429-1010
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261008000000",
"number": "1407851371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 BELLEMEADE AVE",
"address_2": "STE 101",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140682",
"telephone_number": "812-474-1010",
"fax_number": "812-485-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 BELLEMEADE AVE",
"address_2": "STE 101",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140682",
"telephone_number": "812-474-1010",
"fax_number": "812-485-2476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "TIMOTHY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2009-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01029433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200316700",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "231380",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180040683",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000181187",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.