Individual provider Active NPI

Timothy J Carmody, M. D.

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1598751893
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G178182 Issued in CA
Practice address
2428 Santa Monica Blvd
Santa Monica, CA 90404-2045
Phone
(310) 315-1000
NPI assigned
Sep 22, 2005
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA3 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
I20050824000167 IA Practitioner - Diagnostic Radiology 1052392578 Reassigns benefits to 10 organizations
I20120618000598 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1052392578 Reassigns benefits to 1 organization
I20230327002723 CA Practitioner - Diagnostic Radiology 1052392578 Reassigns benefits to 4 organizations

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
Stockton Diagnostic ImagingGroup PAC ID 0749386894, 59 clinicians
Arizona Diagnostic Radiology Group LLCGroup PAC ID 1658796859, 62 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Norcal ImagingGroup PAC ID 7911099346, 79 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

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 100Reported as group
Quality
62.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.83 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
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

LicenseStateTypeSpecialty
G178182CAMDDiagnostic Radiology Physician
31692IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Jul 27, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 1, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 1, 2024 Accepting new patients
Valley Radiology Medical Associates, Inc. CurrentSince Jun 29, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince Dec 25, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jun 1, 2012 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Jul 9, 2024 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jun 1, 2012 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 PastSince Oct 4, 2020 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.

View all 21

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

Sources for this page

Verify at the official NPI Registry.