Active NPI
Timothy J Carmody, M. D.
- Diagnostic Radiology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G178182
- Practice address
- 2428 Santa Monica Blvd
Santa Monica, CA 90404-2045 - Phone
- (310) 315-1000
- NPI assigned
- Sep 22, 2005
- Last updated
- Jul 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 31692 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | G178182 | CA | Primary |
Addresses
Primary practice location
2428 Santa Monica Blvd
Santa Monica, CA 90404-2045
Mailing address
14162 Willow Dr
Clive, IA 50325-8318
Phone (515) 988-8026
Other practice location 1
14162 Willow Dr
Clive, IA 50325-8318
Phone (515) 988-8026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL, CA
- 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 Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Clive, IA 50325
Phone (877) 785-0009
14162 Willow Dr
Clive, IA 50325-8318
Phone (585) 218-8006
415 Rolling Oaks Dr
Thousand Oaks, CA 91361-1029
Phone (805) 778-1513
8750 Wilshire Blvd
Suite 100
Beverly Hills, CA 90211-2708
Phone (310) 689-3100
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.28 of 100
- Quality
- 62.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.83 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.83 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.83 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.83 of 100
- Quality
- 63.33
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G178182 | CA | MD | Diagnostic Radiology Physician |
| 31692 | IA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norcal Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Valley Radiology Medical Associates, Inc. | Current | Accepting new patients | |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Universal Radiology Partners of California PC | Diagnostic Radiology | Current | Accepting new patients |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Innovative Radiology PA | Diagnostic Radiology | Current | Accepting new patients |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Diagnostic Radiology | Current | Accepting new patients |
| Central Iowa Hospital Corporation | Past | Accepting new patients | |
| Lincoln Radiology Group P C | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Consultants of Iowa, PLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2501 E Southern Ave
Ste 811
Tempe, AZ 85282
Phone (480) 820-2021
8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100
2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777
16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020
2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
2428 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 315-1000
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
415 Rolling Oaks Dr
Thousand Oaks, CA 91361
Phone (805) 299-0301
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
Organizations & group practices 21
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
IA
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1568416147
IA
-
- Diagnostic Radiology Physician
- Gilbert, AZ
- NPI 1336757699
IA
-
- Diagnostic Radiology Physician
- Temecula, CA
- NPI 1467225235
-
dba SSM Health St. Mary's Hospital - Centralia
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
Diagnostic Radiology
-
dba Modesto Advanced Diag Imaging Medical Center
- Diagnostic Radiology Physician
- Modesto, CA
- NPI 1730133893
IA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1598751893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14162 WILLOW DR",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258318",
"telephone_number": "515-988-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042045",
"telephone_number": "310-315-1000"
}
],
"practiceLocations": [
{
"address_1": "14162 Willow Dr",
"address_purpose": "LOCATION",
"city": "Clive",
"state": "IA",
"postal_code": "503258318",
"country_code": "US",
"telephone_number": "515-988-8026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARMODY",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "31692",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G178182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Paul Carlo, LCSW, PHD.
- Carlos Rodriguez Chiropractic, Inc (Prodigy Chiro-Care & Spinal Rehab)
- Sari Susanna Carlson, LCSW
- Sophie Gabrielle Carlson, MD
- Courtney Dane Carmichael, NURSE PRACTITIONER
- Dwayne Donovan Carney, MD
- Carol E Davis, M.D. Medical Clinic of Ophthalmology, Inc.
- Carol M Lazo, Licensed Professional Clinical Counselor P.C.
- Caroline M Colin, MD PC
- Tiffany Caronia, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.