Individual provider Active NPI

Timothy Patrick McEvoy, M.D.

  • Pediatric Otolaryngology Physician
  • San Antonio, TX
National Provider Identifier
1487857660
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
P6677 Issued in TX
Practice address
525 Oak Centre Dr Ste 350
San Antonio, TX 78258-3945
Phone
(210) 890-5444
Fax
(210) 593-3099
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X P6677 TX
Pediatric Otolaryngology Physician 207YP0228X P6677 TX Primary

Addresses

Primary practice location

525 Oak Centre Dr Ste 350
San Antonio, TX 78258-3945

Mailing address

525 Oak Centre Dr Ste 350
San Antonio, TX 78258-3945
Phone (210) 890-5444

Other identifiers 2

IdentifierTypeStateIssuer
324267904MedicaidTX
324267905MedicaidTX

Other names 1

  • Timothy P. McEvoy Professional name

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
I20130927000177 TX Practitioner - OtolaryngologyPractitioner - Pediatric Medicine 9931333226 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P6677TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio CurrentSince Aug 15, 2013 Accepting new patients
Dell Children'S Medical Group CurrentSince May 1, 2021 Accepting new patients
Dell Children'S Medical Group CurrentSince May 1, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Community Medicine Associates CurrentSince Apr 15, 2015 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Aug 15, 2013 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 18, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 18, 2023 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

3705 Medical Pkwy
Ste 200
Austin, TX 78705
Phone (512) 324-2720

1301 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 324-0975

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

8300 Floyd Curl Dr
#7777
San Antonio, TX 78229
Phone (210) 450-0700

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

525 Oak Centre Dr
Ste 350
San Antonio, TX 78258
Phone (210) 297-4560

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

7703 Floyd Curl Dr
#7977
San Antonio, TX 78229
Phone (210) 292-0400

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

Interoperability endpoints

  • Direct secure messaging: timothy.mcevoy.1@1438.direct.athenahealth.com

Organizations & group practices 9

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1487857660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR STE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583945",
            "telephone_number": "210-890-5444",
            "fax_number": "210-593-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR STE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583945",
            "telephone_number": "210-890-5444",
            "fax_number": "210-593-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "P6677",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "TX",
            "license": "P6677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324267904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324267905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "MCEVOY",
            "middle_name": "P.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.