Active NPI
Timothy K Putty, MD
- Neurological Surgery Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 20640
- Practice address
- 5860 N la Cholla Blvd
#100
Tucson, AZ 85741-3596 - Phone
- (520) 742-7890
- Fax
- (520) 742-7894
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 20640 | AZ | Primary |
Addresses
Primary practice location
5860 N la Cholla Blvd
#100
Tucson, AZ 85741-3596
Mailing address
5860 N la Cholla Blvd
#100
Tucson, AZ 85741-3596
Phone (520) 742-7890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100983 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Indiana University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5860 N la Cholla Blvd
Suite 100
Tucson, AZ 85741-3597
Phone (520) 420-2045
Hospital & facility affiliations
- Enhabit Home Health
- Tucson Medical Center
- Northwest Medical Center
- Oro Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 84 |
| Laminectomy or laminotomy (partial removal of spine bones) | 109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20640 | AZ | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC Medical Network | Current | Accepting new patients | |
| Kelso Neuromonitoring PLLC | Current | Accepting new patients |
Locations
5300 E Erickson Dr
Ste 112
Tucson, AZ 85712
5860 N La Cholla Blvd
Ste 100
Tucson, AZ 85741
Phone (520) 420-2045
2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
1845 W Orange Grove Rd
Ste 109
Tucson, AZ 85704
Phone (520) 797-9474
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
-
- Electrodiagnostic Medicine Physician
- Tucson, AZ
- NPI 1093270522
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucson, AZ
- NPI 1518351865
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
-
- General Acute Care Hospital
- Oro Valley, AZ
- NPI 1386697688
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1679568869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5860 N LA CHOLLA BLVD",
"address_2": "#100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413596",
"telephone_number": "520-742-7890",
"fax_number": "520-742-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5860 N LA CHOLLA BLVD",
"address_2": "#100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413596",
"telephone_number": "520-742-7890",
"fax_number": "520-742-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTTY",
"first_name": "TIMOTHY",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AZ",
"license": "20640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100983",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.