Individual provider Active NPI

Timothy Edward Allen, M.D.

  • Vascular & Interventional Radiology Physician
  • Topeka, KS
National Provider Identifier
1720017064
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
04-18064 Issued in KS
Practice address
1303 SW First American PL
Topeka, KS 66604-4059
Phone
(785) 234-2306
Fax
(785) 234-2550
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 04-18064 KS Primary
Vascular & Interventional Radiology Physician 2085R0204X 19074 NE
Vascular & Interventional Radiology Physician 2085R0204X R8150 MO
Diagnostic Radiology Physician 2085R0202X 418064 KS

Addresses

Primary practice location

1303 SW First American PL
Topeka, KS 66604-4059

Mailing address

1303 SW First American PL
Topeka, KS 66604-4059
Phone (785) 234-2306

Other identifiers 2

IdentifierTypeStateIssuer
100129410CMedicaidKS
052499OtherKSBC/BS PREMIER BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
418064KSMDDiagnostic Radiology Physician
04-18064KSMDVascular & Interventional Radiology Physician
19074NEMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnetic Resonance Imaging Center of Kansas LP Diagnostic Radiology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tallen201284@ahs.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1720017064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 SW FIRST AMERICAN PL",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666044059",
            "telephone_number": "785-234-2306",
            "fax_number": "785-234-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SW FIRST AMERICAN PL",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666044059",
            "telephone_number": "785-234-2306",
            "fax_number": "785-234-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TIMOTHY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KS",
            "license": "04-18064",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NE",
            "license": "19074",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "R8150",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "418064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100129410C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PREMIER BLUE",
            "identifier": "052499",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.