Individual provider Active NPI

Timothy A Hadley, D.O.

  • Pediatric Gastroenterology Physician
  • Lone Tree, CO
National Provider Identifier
1609216183
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
DR.0062170 Issued in CO
Practice address
9224 Teddy LN Ste 200
Lone Tree, CO 80124-6799
Phone
(303) 790-1515
Fax
(303) 790-1989
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X DR.0062170 CO Primary

Addresses

Primary practice location

9224 Teddy LN Ste 200
Lone Tree, CO 80124-6799

Mailing address

PO Box 174468
Denver, CO 80217-4468
Phone (303) 790-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220701002474 CO Practitioner - Pediatric MedicinePractitioner - Gastroenterology 2567603988 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Pediatric Specialties LLC CurrentSince Dec 15, 2024 Accepting new patients
Obstetrix Medical Group of Colorado P C CurrentSince Apr 29, 2022 Accepting new patients
Healthone Clinic Services LLC Past Accepting new patients
Healthone Clinic Services - Pediatric Specialties LLC Pediatric Gastroenterology PastSince Nov 24, 2024 Accepting new patients

Locations

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

6011 E Woodmen Rd
Ste 115
Colorado Springs, CO 80923
Phone (719) 571-8010

6965 Tutt Blvd
Ste 210
Colorado Springs, CO 80923
Phone (303) 214-0319

1601 E 19th Ave
Ste 3500
Denver, CO 80218
Phone (303) 790-1515

2001 N High St
Denver, CO 80205
Phone (720) 500-4322

1919 E 18th Ave
Denver, CO 80206
Phone (303) 322-3993

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

2055 N High St
Ste 370
Denver, CO 80205

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

10107 Ridgegate Pkwy
Ste 350
Lone Tree, CO 80124
Phone (303) 790-1515

10099 Ridgegate Pkwy
Ste 100
Lone Tree, CO 80124
Phone (303) 817-3527

9224 Teddy Ln
Ste 200
Lone Tree, CO 80124
Phone (303) 790-1515

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

90 Health Park Dr
Ste 390
Louisville, CO 80027
Phone (303) 426-0215

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: timothy.hadley@hca3.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1609216183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174468",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802174468",
            "telephone_number": "303-790-1515",
            "fax_number": "303-790-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9224 TEDDY LN STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246799",
            "telephone_number": "303-790-1515",
            "fax_number": "303-790-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CO",
            "license": "DR.0062170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.