Active NPI
Timothy M McGee, M.D.
- Plastic Surgery Physician
- Round Rock, TX
National Provider Identifier
1720063480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- J0116
- Practice address
- 1760 Round Rock Ave
Round Rock, TX 78681-4217 - Phone
- (512) 583-3376
- Fax
- (512) 540-8291
- NPI assigned
- Dec 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | J0116 | TX | |
| Plastic Surgery Physician | 208200000X | J0116 | TX | Primary |
Addresses
Primary practice location
1760 Round Rock Ave
Round Rock, TX 78681-4217
Mailing address
1760 Round Rock Ave
Round Rock, TX 78681-4217
Phone (512) 583-3376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131785106 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101122000126 | TX | Practitioner - Plastic and Reconstructive Surgery | 9931395688 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J0116 | TX | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westlake Dermatology PA | Plastic Surgery | Current | Accepting new patients |
| Westlake Dermatology, PA | Current | Accepting new patients | |
| Westlake Dermatology, PA | Current | Accepting new patients |
Locations
12201 Renfert Way
Ste 305
Austin, TX 78758
Phone (513) 279-3376
8825 FM 2244 Rd
Ste 100
Austin, TX 78746
401 S FM 620 Rd
Ste 200
Lakeway, TX 78734
Phone (512) 610-0549
1760 Round Rock Ave
Round Rock, TX 78681
Phone (512) 583-3376
Organizations & group practices 3
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.
-
- Dermatology Physician
- Alamo Heights, TX
- NPI 1265086045
-
- Dermatology Physician
- Lakeway, TX
- NPI 1891029476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1720063480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 ROUND ROCK AVE",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814217",
"telephone_number": "512-583-3376",
"fax_number": "512-666-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 ROUND ROCK AVE",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814217",
"telephone_number": "512-583-3376",
"fax_number": "512-540-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEE",
"first_name": "TIMOTHY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "J0116",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "J0116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131785106",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.