Individual provider Active NPI

Timothy Tsai

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1588082309
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11018081 Issued in IN
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

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190611000366 IL Practitioner - Diagnostic Radiology 7416255971 Reassigns benefits to 1 organization
I20200615000677 IN Practitioner - Diagnostic Radiology 7416255971 Reassigns benefits to 1 organization
I20230531000892 TX Practitioner - Diagnostic Radiology 7416255971 Reassigns benefits to 1 organization

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
Radiology IncGroup PAC ID 5890695464, 35 clinicians

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 Hospital, South Bend, IN, CCN 150058
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
  • Goshen Hospital Hospital, Goshen, IN, CCN 150026
  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
  • Community Hospital of Bremen Inc Hospital, Bremen, IN, CCN 151300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018081INMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health, LLC Diagnostic Radiology CurrentSince Mar 23, 2026 Accepting new patients
Beacon Health, LLC Diagnostic Radiology CurrentSince Aug 8, 2022 Accepting new patients
Radiology, Inc Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2019 Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Jul 1, 2019 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.