Active NPI
Timothy Scott Tatum, M.D.
- Diagnostic Radiology Physician
- Blue Ash, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35133381
- Practice address
- 9825 Kenwood Rd Ste 105
Blue Ash, OH 45242-6252 - Phone
- (513) 872-4500
- Fax
- (513) 527-0416
- NPI assigned
- May 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 35133381 | OH | Primary |
Addresses
Primary practice location
9825 Kenwood Rd Ste 105
Blue Ash, OH 45242-6252
Mailing address
2624 Wendell Ave
Louisville, KY 40205-3138
Phone (502) 558-2689
Other practice location 1
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 741-1095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0280677 | Medicaid | OH | |
| G529780 | Other | OH | MEDICARE OHIO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, OH, KY, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 872-4500
2144 N Fort Thomas Ave
Fort Thomas, KY 41075-1022
Phone (513) 872-4500
4677 Columbus St
Suite 101
Virginia Beach, VA 23462-6746
Phone (757) 943-3660
Hospital & facility affiliations
- Christ Hospital
- The Jewish Hospital-Mercy Health
- Mercy Health-Anderson Hospital
- Mercy Health Kings Mills Hospital LLC
- Mercy Health - West Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.07 of 100
- Quality
- 57.65
- Improvement activities
- 40
- Cost
- 74.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35133381 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Radiology Inc. | Multi-Specialty | Current | Accepting new patients |
| RCHP - Wilmington LLC | Current | Accepting new patients | |
| Selma Radiology Associates P C | Multi-Specialty | Current | Accepting new patients |
| Town Center Imaging 2 LLC | Multi-Specialty | Current | Accepting new patients |
| RCHP-Wilmington, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669
2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
2055 Normandie Dr
Ste 108
Montgomery, AL 36111
Phone (334) 288-4624
1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100
60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115
9825 Kenwood Rd
Ste 105
Blue Ash, OH 45242
Phone (513) 527-0408
4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
31 Farquhar Ave
Wilmington, OH 45177
Phone (937) 283-2273
4677 Columbus St
Ste 101
Virginia Beach, VA 23462
Phone (757) 943-3660
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.
-
- Diagnostic Radiology Physician
- Blue Ash, OH
- NPI 1043348014
KY, Multi-Specialty
-
dba CMH Regional Health System Senior Behavioral Care
- Psychiatric Hospital Unit
- Wilmington, OH
- NPI 1801229034
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Jewish Hospital - Mercy Health
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1336478163
-
dba Mercy Hospital Anderson
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1235239211
-
dba Mercy Health - West Hospital
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1912007931
-
dba Mercy Health - West Hospital
- Clinical Medical Laboratory
- Cincinnati, OH
- NPI 1982728036
Hospital
-
dba Mercy Health - Kings Mills Hospital
- General Acute Care Hospital
- Mason, OH
- NPI 1790469146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1669732723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 WENDELL AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053138",
"telephone_number": "502-558-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 KENWOOD RD STE 105",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452426252",
"telephone_number": "513-872-4500",
"fax_number": "513-527-0416"
}
],
"practiceLocations": [
{
"address_1": "2401 W University Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473033428",
"country_code": "US",
"telephone_number": "765-741-1095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATUM",
"first_name": "TIMOTHY",
"middle_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-23",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35133381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0280677",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OHIO",
"identifier": "G529780",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.