Active NPI
Timothy Tsai
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 11018081
- Practice address
- 500 University Blvd
Room 0641
Indianapolis, IN 46202-5149 - Phone
- (317) 948-2449
- Fax
- (317) 948-2803
- NPI assigned
- Mar 29, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 11018081 | IN | Primary |
Addresses
Primary practice location
500 University Blvd
Room 0641
Indianapolis, IN 46202-5149
Mailing address
676 N Saint Clair St Ste 800
Chicago, IL 60611-2978
Phone (312) 695-5978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Medical School at Houston, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3007 Honey Tree LN
Austin, TX 78746-6721
Phone (574) 258-1100
615 N Michigan St
Memorial Hospital
South Bend, IN 46601-1033
Phone (574) 647-1000
Hospital & facility affiliations
- Memorial Hospital of South Bend
- Elkhart General Hospital
- Goshen Hospital
- Three Rivers Health
- Community Hospital of Bremen Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11018081 | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Health, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Beacon Health, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Diagnostic Radiology | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
676 N Saint Clair St
Ste 800
Chicago, IL 60611
Phone (312) 695-5753
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
1020 High Rd
#O
Bremen, IN 46506
Phone (574) 284-3086
303 S Nappanee St
Elkhart, IN 46514
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
1135 Professional Dr
Goshen, IN 46526
Phone (574) 364-4600
1115 Professional Dr
Goshen, IN 46526
Phone (574) 364-4850
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
6901 N Main St
Granger, IN 46530
Phone (574) 647-2900
620 W Edison Rd
Ste 110
Mishawaka, IN 46545
Phone 5742581100 ext. 239
100 Navarre Pl
Ste 5500
South Bend, IN 46601
Phone (574) 647-5200
100 Navarre Pl
Ste 6655
South Bend, IN 46601
Phone (574) 284-6850
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Mishawaka, IN
- NPI 1912796699
-
- Diagnostic Radiology Physician
- Goshen, IN
- NPI 1952982217
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bremen, IN
- NPI 1568417004
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- General Acute Care Hospital
- Three Rivers, MI
- NPI 1568739423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1588082309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST STE 800",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112978",
"telephone_number": "312-695-5978",
"fax_number": "312-695-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY BLVD",
"address_2": "ROOM 0641",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-948-2449",
"fax_number": "317-948-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSAI",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-29",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "11018081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.