Individual provider Active NPI

Timothy Michael Erwin, MD PHD

  • Diagnostic Radiology Physician
  • Albuquerque, NM
National Provider Identifier
1508186784
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2016-0183 Issued in NM
Practice address
4411 The 25 Way NE Ste 150
Albuquerque, NM 87109-5888
Phone
(505) 332-5800
NPI assigned
Jun 10, 2010
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD2016-0183 NM Primary

Addresses

Primary practice location

4411 The 25 Way NE Ste 150
Albuquerque, NM 87109-5888

Mailing address

4411 The 25 Way NE Ste 150
Albuquerque, NM 87109-5888
Phone (505) 332-5800

Other practice location 1

1000 Eubank Blvd NE Ste A
Albuquerque, NM 87112-5375
Phone (505) 750-8461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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
I20160621001355 NM Practitioner - Diagnostic Radiology 3072756345 Reassigns benefits to 4 organizations
I20220518002154 TX Practitioner - Diagnostic Radiology 3072756345 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of New Mexico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Imaging LLCGroup PAC ID 2860451648, 15 clinicians

Practice addresses (Care Compare)

4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5888
Phone (505) 332-5827

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50617AZMDParamedic
MD2016-0183NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Ton San Simon Health Center CurrentSince Apr 1, 2022 Accepting new patients
Radiology Associates of Albuquerque, PA Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Ton San Xavier Health Center CurrentSince Apr 1, 2022 Accepting new patients
New Mexico Oncology Hematology Consultants, LTD. CurrentSince May 1, 2018 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince May 16, 2022 Accepting new patients
Ton Sells Hospital CurrentSince Apr 1, 2022 Accepting new patients
Ton Sells Hospital Past Accepting new patients
Advanced Imaging LLC Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000

5150 Journal Center Blvd NE
Albuquerque, NM 87109
Phone (505) 262-3212

5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

2400 Unser Blvd SE
Ste 28200
Rio Rancho, NM 87124
Phone (505) 370-9600

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1508186784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 THE 25 WAY NE STE 150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095888",
            "telephone_number": "505-332-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 THE 25 WAY NE STE 150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095888",
            "telephone_number": "505-332-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Eubank Blvd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871125375",
            "country_code": "US",
            "telephone_number": "505-750-8461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2016-0183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.