Individual provider Active NPI

Timothy G Egan, M.D.

  • Cardiovascular Disease Physician
  • Springfield, MA
National Provider Identifier
1447434428
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
236891 Issued in MA
Practice address
3300 Main St
2ND Floor, Suite a
Springfield, MA 01107-1112
Phone
(413) 794-2273
Fax
(413) 794-0198
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 245704 NY
Cardiovascular Disease Physician 207RC0000X 25MA08982500 NJ
Cardiovascular Disease Physician 207RC0000X MD443470 PA
Cardiovascular Disease Physician 207RC0000X 236891 MA Primary

Addresses

Primary practice location

3300 Main St
2ND Floor, Suite a
Springfield, MA 01107-1112

Mailing address

280 Chestnut St
2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121127000474 MA Practitioner - Cardiovascular Disease (Cardiology) 8022288612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Michigan Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

100 Wason Ave
Springfield, MA 01107-1381
Phone (413) 788-6139

11 Wilbraham Rd
Springfield, MA 01109-3161
Phone (413) 794-3710

164 High St
Greenfield, MA 01301-2613
Phone (413) 794-2273

21 Dwight Rd
Longmeadow, MA 01106-1765

2344 Boston Rd
Wilbraham, MA 01095-1104
Phone (413) 596-5550

280 Chestnut St
Suite 2
Springfield, MA 01199-1001

325 B King St
Northampton, MA 01060-2370
Phone (413) 586-0611

3300 Main St
Springfield, MA 01107-1112
Phone (413) 794-7330

3350 Main St
Springfield, MA 01107-1112
Phone (413) 794-9338

3400 Main St
Springfield, MA 01107-1113
Phone (413) 794-8777

380 Plainfield St
Springfield, MA 01107-1524
Phone (413) 794-4458

46 Daggett Dr
West Springfield, MA 01089-4638
Phone (413) 794-9110

470 Granby Rd
South Hadley, MA 01075-3218
Phone (413) 794-2273

48 Sanderson St
Greenfield, MA 01301-2778
Phone (413) 773-2022

57 Union St
Westfield, MA 01085-2658
Phone (413) 831-7960

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 794-8121

759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439

95 Sargent St
Belchertown, MA 01007-9881
Phone (413) 323-7212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245704NYMDInternal Medicine Physician
236891MAMDCardiovascular Disease Physician
MD443470PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Internal Medicine CurrentSince Oct 9, 2012 Accepting new patients
Baystate Medical Center Inc Past Accepting new patients

Locations

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

3300 Main St
Fl 2
Springfield, MA 01107
Phone (413) 794-2273

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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1447434428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MAIN ST",
            "address_2": "2ND FLOOR, SUITE A",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071112",
            "telephone_number": "413-794-2273",
            "fax_number": "413-794-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "TIMOTHY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "245704",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08982500",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD443470",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "236891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.