Individual provider Active NPI

Timothy J McCue, M.D.

  • Diagnostic Radiology Physician
  • Missoula, MT
National Provider Identifier
1639254709
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MED-PHYS-LIC-10429 Issued in MT
Practice address
1510 S Reserve St
Missoula, MT 59801-4756
Phone
(406) 540-4117
NPI assigned
Oct 26, 2006
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10429 MT
Sports Medicine (Family Medicine) Physician 207QS0010X 10429 MT
Diagnostic Radiology Physician 2085R0202X MED-PHYS-LIC-10429 MT Primary

Addresses

Primary practice location

1510 S Reserve St
Missoula, MT 59801-4756

Mailing address

629D Lowther Rd
Lewisberry, PA 17339-9527
Phone (303) 914-8800

Other practice location 1

41 Wildground Ln
Missoula, MT 59802-3335
Phone (406) 587-8631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 20, 2026 through May 20, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-10429MTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Penn State Health Medical Group, LLC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Grant County Public Hospital District 2 CurrentSince Feb 1, 2017 Accepting new patients
Moses Lake Community Health Center CurrentSince Feb 1, 2017 Accepting new patients
Missoula Sports Medicine and Imaging LLC Sports Medicine Current Accepting new patients
Moses Lake Community Health Center CurrentSince Feb 1, 2017 Accepting new patients
Montana Imaging Center Current Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Clark Fork Emergency Physicians PLLC Past Accepting new patients
Community Medical Center Inc Past Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology PastSince Mar 14, 2016 Accepting new patients
Corvallis Radiology PC Diagnostic Radiology PastSince Apr 1, 2022 Accepting new patients

Locations

1510 S Reserve St
Missoula, MT 59801
Phone (406) 251-2323

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

3600 Forbes Ave
Pittsburgh, PA 15213
Phone (412) 647-1310

605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674

908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1639254709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629D LOWTHER RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399527",
            "telephone_number": "303-914-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014756",
            "telephone_number": "406-540-4117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Wildground Ln",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598023335",
            "country_code": "US",
            "telephone_number": "406-587-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUE",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10429",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MT",
            "license": "10429",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-10429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.