Individual provider Active NPI

Timothy L Mulholland, M.D.

  • Urology Physician
  • Mason City, IA
National Provider Identifier
1477549442
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35724 Issued in IA
Practice address
250 S Crescent Dr
Mason City, IA 50401-2926
Phone
(641) 494-5280
Fax
(641) 494-5281
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35724 IA Primary

Addresses

Primary practice location

250 S Crescent Dr
Mason City, IA 50401-2926

Mailing address

250 S Crescent Dr
Mason City, IA 50401-2926
Phone (641) 494-5400

Other identifiers 1

IdentifierTypeStateIssuer
0447516MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologynurse@1245.direct.myezyaccess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040922001169 IA Practitioner - Urology 7911975362 Reassigns benefits to 5 organizations
I20180827002179 MN Practitioner - Urology 7911975362

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians
Waverly Health CenterGroup PAC ID 8820996762, shared by 10 NPIs, 44 clinicians
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

1717 W Ridgeway Ave
Uph Allen Hospital Center for Urology
Waterloo, IA 50701-4543
Phone (319) 233-0340

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913

233 Vold Dr
Waterloo, IA 50703-1256
Phone 31923550900

312 9TH St SW
Waverly, IA 50677-2929
Phone (319) 352-4120

804 Kenyon Rd
Suite 240
Fort Dodge, IA 50501-5742
Phone (515) 574-8490

Hospital & facility affiliations

  • Waverly Health Center Hospital, Waverly, IA, CCN 161339
  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Iowa Specialty Hospital - Belmond Hospital, Belmond, IA, CCN 161301
  • Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064
  • Floyd County Medical Center Hospital, Charles City, IA, CCN 161347

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35724IAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics CurrentSince Apr 1, 2020 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Waverly Health Center CurrentSince Jul 1, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Dec 29, 2025 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
Waverly Health Center CurrentSince Jul 1, 2025 Accepting new patients
Waverly Health Center Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Dec 29, 2025 Accepting new patients
Allen Memorial Hospital Corporation Urology CurrentSince Dec 29, 2025 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

804 Kenyon Rd
Ste 240
Fort Dodge, IA 50501
Phone (515) 574-8490

51 Unitypoint Way
Ste 100
Marshalltown, IA 50158
Phone (641) 844-6259

250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

1717 W Ridgeway Ave
Waterloo, IA 50701
Phone (319) 233-0340

312 9th St SW
Ste 3000
Waverly, IA 50677
Phone (319) 352-8891

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

Organizations & group practices 12

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 5

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1477549442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S CRESCENT DR",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012926",
            "telephone_number": "641-494-5400",
            "fax_number": "641-494-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S CRESCENT DR",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012926",
            "telephone_number": "641-494-5280",
            "fax_number": "641-494-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHOLLAND",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "35724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447516",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologynurse@1245.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "Mason City Clinic Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "250 S Crescent Dr",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.