Individual provider Active NPI

Timothy L. Reynolds, MD

  • Emergency Medicine Physician
  • Texarkana, TX
National Provider Identifier
1558362194
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J7363 Issued in TX
Practice address
3515 Richmond Rd
Texarkana, TX 75503-0711
Phone
(903) 791-9355
Fax
(903) 831-7258
NPI assigned
Aug 4, 2005
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J7363 TX Primary

Addresses

Primary practice location

3515 Richmond Rd
Texarkana, TX 75503-0711

Mailing address

3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 791-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, LA, OK4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040330001026 TX Practitioner - Emergency Medicine 0941292270 Reassigns benefits to 1 organization
I20150421000295 AR Practitioner - Emergency Medicine 0941292270 Reassigns benefits to 1 organization
I20170629002310 LA Practitioner - Emergency Medicine 0941292270 Reassigns benefits to 1 organization
I20180207001888 OK Practitioner - Emergency Medicine 0941292270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
71.48
Promoting interoperability
100
Improvement activities
40
Cost
75.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J7363TXMDEmergency Medicine Physician
K0999TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP CurrentSince Jan 1, 2018 Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP CurrentSince Jan 7, 2004 Accepting new patients
Healthcare Express, LLP CurrentSince Nov 15, 2004 Accepting new patients
Healthcare Express, LLP CurrentSince Apr 1, 2015 Accepting new patients
Camp Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Longview Emergency Medicine Associates PLLC Emergency Medicine Past Accepting new patients

Locations

125 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-9355

4526 Northport Blvd
Shreveport, LA 71107
Phone (318) 489-4181

1701 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 302-8999

1509 W Loop 281
Longview, TX 75604
Phone (903) 759-9355

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Organizations & group practices 27

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.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1558362194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030711",
            "telephone_number": "903-791-9355",
            "fax_number": "903-793-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030711",
            "telephone_number": "903-791-9355",
            "fax_number": "903-831-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "TIMOTHY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J7363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.