Individual provider Active NPI

Timothy Feyma, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Bloomington, MN
National Provider Identifier
1467561464
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
52214 Issued in MN
Practice address
3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5202
Phone
(612) 879-1000
Fax
(612) 879-9116
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ML20008563 WA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 52214 MN Primary

Addresses

Primary practice location

3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5202

Mailing address

3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5202
Phone (612) 879-1000

Other practice location 1

11091 Ulysses St NE Ste 100
Blaine, MN 55434-4238
Phone (612) 879-1000

Other practice location 2

8515 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8624
Phone (612) 879-1000

Other identifiers 1

IdentifierTypeStateIssuer
130001693OtherMNMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20120312000591 MN Practitioner - NeurologyPractitioner - Physical Medicine and Rehabilitation 0547429573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Wisconsin School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Epilepsy Group PAGroup PAC ID 6709771363, 24 clinicians
Noran Neurological Clinic, P.a.Group PAC ID 3971497389, 54 clinicians

Practice addresses (Care Compare)

2720 Fairview Ave N
Suite 100
Roseville, MN 55113-1306
Phone (651) 241-5290

3601 Minnesota Dr
Suite 200
Bloomington, MN 55435-5202
Phone (612) 879-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML20008563WAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care CurrentSince Oct 13, 2025 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Feb 1, 2025 Accepting new patients
Minnesota Epilepsy Group PA CurrentSince Feb 1, 2025 Accepting new patients
Children'S Health Care CurrentSince Oct 13, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Gillette Children'S Specialty Healthcare Past Accepting new patients
Quest Diagnostics LLC Il Past Accepting new patients

Locations

11091 Ulysses St NE
Ste 100
Blaine, MN 55434
Phone (763) 783-3377

8515 Eagle Point Blvd
Ste 100
Lake Elmo, MN 55042
Phone (651) 259-9501

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone (612) 879-1502

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

225 Smith Ave N
Ste 201
Saint Paul, MN 55102
Phone (651) 241-5290

2720 Fairview Ave N
#100
Saint Paul, MN 55113
Phone (651) 241-5290

200 University Ave E
Ofc 3344
Saint Paul, MN 55101

200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFDABA

Organizations & group practices 8

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1467561464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355202",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355202",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11091 Ulysses St NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554344238",
            "country_code": "US",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8515 Eagle Point Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Elmo",
            "state": "MN",
            "postal_code": "550428624",
            "country_code": "US",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEYMA",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "WA",
            "license": "ML20008563",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MN",
            "license": "52214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "130001693",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.