Timothy Daniel Polk, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0051788 Issued in MD

Practice address

6115 Falls Rd
Suite 300
Baltimore, MD 21209-2219

Phone

(410) 377-7611

Fax

(410) 377-8221

NPI assigned

Jan 13, 2006

Last updated

Sep 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, PA2 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 2

Specialty

Ophthalmology

Education

University of Virginia School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Retina Group of Washington PLLCGroup PAC ID 5294702692, 78 clinicians

Associated Retinal Consultants LLCGroup PAC ID 2961509161, 115 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.14 of 100Reported as group

Quality

99.47

Promoting interoperability

100

Improvement activities

40

Cost

77.65

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tpolk@retinacarecenter.intellechartdirect.net

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.

• The Retina Group of Washington, PLLC

  • Ophthalmology Physician
  • Greenbelt, MD
  • NPI 1225001654
  Medicare reassignment Care Compare group NPD
• Associated Retinal Consultants LLC

  • Ophthalmology Physician
  • Newark, DE
  • NPI 1164578894

  PA

  Medicare reassignment Care Compare group NPD
• The Retina Group of Washington, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Chestertown, MD
  • NPI 1760110894

  Ophthalmology

  NPD
• Associated Retinal Consultants LLC

  dba Millennium Eye Care Englishtown Optical Shop

  • Durable Medical Equipment & Medical Supplies
  • Englishtown, NJ
  • NPI 1295477404
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Sinai Hospital of Baltimore Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1437174059

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1669451951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 FALLS RD",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092219",
            "telephone_number": "410-377-7611",
            "fax_number": "410-377-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 FALLS RD",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092219",
            "telephone_number": "410-377-7611",
            "fax_number": "410-377-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "TIMOTHY",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0051788",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD438329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert John Polito, M.D.
• Stephanie Polizois, CPNP
• Ann Polk, CRNP
• Danielle Polk, PTA
• Sarah Polk, MD
• Tara Polla, DNP
• Adria Pollack
• Craig Evan Pollack, M.D.
• Gabrielle Pollack, MD, MPH
• Jerrold Jerome Pollack, DDS RPH

• Ophthalmology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.