Active NPI
Timothy M Roddy, MD
- Urology Physician
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD00026286
- Practice address
- 21822 76TH Ave W
Edmonds, WA 98026-7900 - Phone
- (425) 775-7166
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD00026286 | WA | Primary |
Addresses
Primary practice location
21822 76TH Ave W
Edmonds, WA 98026-7900
Mailing address
21822 76TH Ave W
Edmonds, WA 98026-7900
Phone (425) 775-7166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Oregon Health Sciences University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14259 N Fawnbrooke Dr
Oro Valley, AZ 85755-5806
525 W Brown Rd
Mesa, AZ 85201-3202
Hospital & facility affiliations
- Banner - University Medical Center Tucson Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Family Medicine | Current | Accepting new patients |
Locations
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
1625 N Campbell Ave
Tucson, AZ 85719
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1932708328
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1487696092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21822 76TH AVE W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267900",
"telephone_number": "425-775-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21822 76TH AVE W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267900",
"telephone_number": "425-775-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODDY",
"first_name": "TIMOTHY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "MD00026286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.