Individual provider Active NPI

Timothy J Lach, MD

  • Diagnostic Radiology Physician
  • Bedford, IN
National Provider Identifier
1407954159
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01047300A Issued in IN
Practice address
2900 16TH St
Bedford, IN 47421-3510
Phone
(812) 275-1200
Fax
(812) 275-1231
NPI assigned
Sep 20, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01047300A IN Primary

Addresses

Primary practice location

2900 16TH St
Bedford, IN 47421-3510

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

3707 New Vision Dr Ste C
Fort Wayne, IN 46845-1702
Phone (260) 471-9466

Other identifiers 2

IdentifierTypeStateIssuer
200195550MedicaidIN
100267990MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tlach@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041222000722 IN Practitioner - Diagnostic Radiology 3173410222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana University Radiology Associates IncGroup PAC ID 7315922267, 213 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1000 S Main St
Tipton, IN 46072-9753
Phone (765) 675-8538

10212 Lantern Rd
Fishers, IN 46037-9705
Phone (317) 841-5656

1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 963-0166

11725 N Illinois St
Suite 275
Carmel, IN 46032-4656
Phone (317) 817-1114

1375 N Green St
Suite 200
Brownsburg, IN 46112-8734
Phone (317) 688-2000

1520 S Liberty Dr
Bloomington, IN 47403-5167
Phone (812) 676-4345

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2209 John R Wooden Dr
Morgan Hospital
Martinsville, IN 46151-1840
Phone (765) 349-6513

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-4274

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9356

2900 16TH St
Bedford, IN 47421-3510
Phone (812) 275-1367

500 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 333-7676

500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-1821

550 N University Blvd Room
Suite 0663
Indianapolis, IN 46202-5149

550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 353-2108

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 948-7569

5501 W Bethel Ave
Muncie, IN 47304-8513
Phone (765) 286-3900

642 W Hospital Rd
Iu Health Paoli Hospital
Paoli, IN 47454-9672
Phone (812) 723-2811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
15.77 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Nufinity, LLC Diagnostic Radiology PastSince Oct 9, 2002 Accepting new patients

Locations

5924 Reliable Pkwy
Chicago, IL 60686

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

2600 Greenbush St
Lafayette, IN 47904

Interoperability endpoints

  • Direct secure messaging: tlach@yourcarecommunity.org
  • Direct secure messaging: tlach675016@direct.parkviewexchange.com

Organizations & group practices 3

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 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1407954159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213510",
            "telephone_number": "812-275-1200",
            "fax_number": "812-275-1231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 New Vision Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451702",
            "country_code": "US",
            "telephone_number": "260-471-9466",
            "fax_number": "260-484-5919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACH",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01047300A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200195550",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100267990",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlach@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 16th St",
            "city": "Bedford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474213510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.