Timothy Edward Quan, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

037380 Issued in CT

Practice address

1504 Sullivan Ave
South Windsor, CT 06074-2711

Phone

(860) 432-8400

Fax

(860) 432-8430

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Rheumatology

Education

State University of New York Downstate Medical Center, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rheumatology Specialists of Connecticut IncGroup PAC ID 0648558023, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.quan@glacecentral.com

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.

• Rheumatology Specialists of Connecticut, Inc.

  • Rheumatology Physician
  • South Windsor, CT
  • NPI 1720534811
  Medicare reassignment Care Compare group NPD Authorized official
• Rheumatology Specialists of Connecticut, Inc.

  • Non-Pharmacy Dispensing Site
  • Manchester, CT
  • NPI 1386571081
  NPD (past) Authorized official
• Eastern Connecticut Medical Professionals Foundation Inc

  dba Eastern CT Medical Professionals

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1770557712
  NPD (past)
• Rheumatology Specialists of Connecticut, Inc.

  • Rheumatology Physician
  • South Windsor, CT
  • NPI 1356849335
  NPD (past)
• Rheumatology Specialists of Connecticut, Inc.

  • Rheumatology Physician
  • South Windsor, CT
  • NPI 1497270847
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Manchester Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1881564664
  Care Compare affiliation

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1649227208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742711",
            "telephone_number": "860-432-8400",
            "fax_number": "860-432-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742711",
            "telephone_number": "860-432-8400",
            "fax_number": "860-432-8430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 Farmington Ave Ste Ll2",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321936",
            "country_code": "US",
            "telephone_number": "860-432-8400",
            "fax_number": "860-432-8430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Tamarack Ave",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060745561",
            "country_code": "US",
            "telephone_number": "860-432-8400",
            "fax_number": "860-432-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAN",
        "first_name": "TIMOTHY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "037380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2771375",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "010037380CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9924521",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649227208",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tquan16746@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Rheumatology Specialists of CT Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1504 Sullivan Ave",
            "city": "South Windsor",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060742711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda K Prella
• Allison Marie Price
• Prospect Manchester Hospital, Inc.
• Providercare Plus PC
• Darlene Przasnyski
• Marcy Lynn Qureshi, D.O.
• Brandon Raymond Ragozzino, PA-C
• Rapha Behavioral Services LLC
• Angela Xyrle Ratilla, PT
• Christine Ratzel, MSW, LCSW

• Rheumatology Physician in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Rheumatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.

Verify at the official NPI Registry.