Individual provider Active NPI

Timothy Wayne Sullinger, M.D.

  • Family Medicine Physician
  • Montrose, CO
National Provider Identifier
1669410833
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39301 Issued in CO
Practice address
154 Colorado Ave
Montrose, CO 81401-3651
Phone
(970) 252-9165
Fax
(970) 252-8874
NPI assigned
Jun 2, 2006
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 66433 TN
Family Medicine Physician 207Q00000X 39301 CO Primary

Addresses

Primary practice location

154 Colorado Ave
Montrose, CO 81401-3651

Mailing address

154 Colorado Ave
Montrose, CO 81401-3651
Phone (970) 252-9165

Other practice location 1

5733 S 34th St Ste 500
Lincoln, NE 68516-6632
Phone (531) 350-6982

Other identifiers 2

IdentifierTypeStateIssuer
080180229OtherCORAILROAD MEDICARE
65084730MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, MO, TN, IA, WY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20141126001784 NE Practitioner - Emergency MedicinePractitioner - Family Practice 5395778971 Reassigns benefits to 13 organizations
I20200916001550 MO Practitioner - Family Practice 5395778971 Reassigns benefits to 4 organizations
I20230119002449 TN Practitioner - Emergency Medicine 5395778971 Reassigns benefits to 1 organization
I20231025001120 IA Practitioner - HospitalistPractitioner - Family Practice 5395778971 Reassigns benefits to 2 organizations
I20240429002200 WY Practitioner - Family Practice 5395778971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cox-Monett Hospital IncGroup PAC ID 0345236667, 69 clinicians
Box Butte General HospitalGroup PAC ID 9638089584, shared by 7 NPIs, 60 clinicians
Clarinda Regional Health CenterGroup PAC ID 4587573993, 46 clinicians
Teledigm Physician Services LLCGroup PAC ID 6002130283, 15 clinicians
West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians

Practice addresses (Care Compare)

1000 E Hwy 60
Monett, MO 65708-0000
Phone (417) 235-3144

2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (308) 762-6660

220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (712) 542-2176

3533 Prairieview St
Grand Island, NE 68803-4409
Phone (308) 675-5000

4800 Hospital Pkwy
Beatrice, NE 68310-6906
Phone (402) 228-3344

5733 S 34TH St
Suite 500
Lincoln, NE 68516-6632
Phone (531) 350-6982

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

821 N 14TH St
Beatrice, NE 68310-2446
Phone (417) 235-3144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39301COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Hospital Kearney Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC CurrentSince Dec 12, 2022 Accepting new patients
Cox Barton County Hospital CurrentSince Aug 1, 2020 Accepting new patients
Grand Island Regional Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Memorial Community Hospital Corporation CurrentSince Feb 17, 2020 Accepting new patients
Cedar County Memorial Hospital CurrentSince Apr 1, 2025 Accepting new patients
Box Butte General Hospital Current Accepting new patients
Lester E Cox Medical Centers Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Skaggs Community Hospital Association Family Medicine CurrentSince Feb 24, 2025 Accepting new patients
Bryan Hospital Kearney CurrentSince Apr 1, 2022 Accepting new patients
Madonna Rehabilitation Hospital CurrentSince Jun 15, 2021 Accepting new patients
Memorial Community Hospital Corporation Family Medicine CurrentSince Feb 17, 2020 Accepting new patients
Skaggs Community Hospital Association CurrentSince Feb 24, 2025 Accepting new patients
Teledigm Physician Services, LLC CurrentSince Nov 1, 2018 Accepting new patients
West Park Hospital District CurrentSince Mar 23, 2024 Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Cedar County Memorial Hospital Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Clarinda Regional Health Center Family Medicine CurrentSince Sep 19, 2023 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Cedar County Memorial Hospital CurrentSince May 2, 2025 Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Lester E Cox Medical Centers CurrentSince Aug 1, 2024 Accepting new patients
Beatrice Community Hospital & Health Center Inc CurrentSince Nov 17, 2014 Accepting new patients
West Park Hospital District CurrentSince Mar 23, 2024 Accepting new patients
Mountain Radiology, Inc Past Accepting new patients
Cedar County Memorial Hospital Past Accepting new patients
Grand Island Regional Medical Center Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

1401 S Park St
El Dorado Springs, MO 64744
Phone (417) 876-2511

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

801 N Lincoln Ave
Monett, MO 65708
Phone (417) 269-4056

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611

3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

2222 S 16th St
Ste 401A
Lincoln, NE 68502
Phone (402) 483-8744

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

5733 S 34th St
Ste 500
Lincoln, NE 68516
Phone (531) 350-6970

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 323-6900

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Organizations & group practices 32

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 32

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1669410833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 COLORADO AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013651",
            "telephone_number": "970-252-9165",
            "fax_number": "970-252-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 COLORADO AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013651",
            "telephone_number": "970-252-9165",
            "fax_number": "970-252-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5733 S 34th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685166632",
            "country_code": "US",
            "telephone_number": "531-350-6982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLINGER",
        "first_name": "TIMOTHY",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "66433",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080180229",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65084730",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.