Individual provider Active NPI

Timithy M. Dunham, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1477569424
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G2532 Issued in TX
Practice address
7400 Louis Pasteur Dr
Ste 200
San Antonio, TX 78229-4542
Phone
(210) 614-3333
Fax
(210) 697-9952
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G2532 TX Primary

Addresses

Primary practice location

7400 Louis Pasteur Dr
Ste 200
San Antonio, TX 78229-4542

Mailing address

7400 Louis Pasteur Dr
Ste 200
San Antonio, TX 78229-4542
Phone (210) 614-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040514000905 TX Practitioner - Ophthalmology 1951391689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7400 Louis Pasteur Dr
Suite 200
San Antonio, TX 78229-4542
Phone (210) 614-3333

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Timithy M Dunham MD PA Ophthalmology CurrentSince Nov 16, 2000 Accepting new patients
Paul Tran OD, PA Past Accepting new patients
Raymund Garza OD PC Past Accepting new patients
Novamed Surgery Center of San Antonio LP PastSince Apr 13, 2006 Accepting new patients
Berkeley Eye Institute, PLLC Ophthalmology Past Accepting new patients

Locations

9150 Huebner Rd
Ste 280
San Antonio, TX 78240
Phone (210) 225-5666

7400 Louis Pasteur Dr
Ste 200
San Antonio, TX 78229
Phone (210) 614-3333

Organizations & group practices 5

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1477569424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LOUIS PASTEUR DR",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294542",
            "telephone_number": "210-614-3333",
            "fax_number": "210-697-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 LOUIS PASTEUR DR",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294542",
            "telephone_number": "210-614-3333",
            "fax_number": "210-697-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "TIMITHY",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G2532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.