Active NPI
Timothy A. Conner, M.D.
- Diagnostic Radiology Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 15891
- Practice address
- 17310 Wright St Ste 103
Omaha, NE 68130-2405 - Phone
- (833) 228-6889
- Fax
- (877) 853-0376
- NPI assigned
- Jun 10, 2005
- Last updated
- Oct 24, 2025
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | V6434 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | 2018035939 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 15891 | WV | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MTL-2023-028 | GU | |
| Diagnostic Radiology Physician | 2085R0202X | 15495 | ND | |
| Diagnostic Radiology Physician | 2085R0202X | MC-198 | GU | |
| Diagnostic Radiology Physician | 2085R0202X | ME139826 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 11756C | WY | |
| Diagnostic Radiology Physician | 2085R0202X | G194370 | CA |
Addresses
Primary practice location
17310 Wright St Ste 103
Omaha, NE 68130-2405
Mailing address
1010 N 102ND St Ste 201
Omaha, NE 68114-2122
Phone (833) 228-6889
Other practice location 1
1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000
Other practice location 2
2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000
Other practice location 3
6000 Hospital Drive
Radiology
Hannibal, MO 63401
Phone (573) 248-5301
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14175 | Medicaid | WV | |
| 0119966000 | Medicaid | WV | |
| F23457 | Other | WV | BRICKSTREET INSURANCE |
| 0130753 | Other | WV | UMWA |
| 151237200 | Other | WV | US DOL & US POSTAL COMP |
| 14193 | Other | WV | CARELINK & CARELINK PEIA |
| 55-0516458 | Other | WV | GROUP FEIN # |
| 550516458 | Other | WV | ACORDIA NATIONAL PEIA |
| 020011800 | Other | WV | FEDERAL BLACK LUNG |
| 2047190 | Medicaid | OH | |
| 550516458 | Medicaid | WV | |
| 64942105 | Medicaid | KY | |
| 000034924 | Other | WV | FREEDOM BLUE & MS BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, TX, WA, MN, WI, TN, IA, MA, ND, WY, MO, GU, CT, IL, SD, SC, NC, CA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 19
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- West Virginia University School of Medicine, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Spartanburg Medical Center
Practice addresses (Care Compare)
Soddy Daisy, TN 37379
Phone (910) 615-4000
1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000
101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6000
1105 Dale Ave
Benton City, WA 99320-8872
Phone (509) 588-4075
1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000
1600 S 48TH St
Lincoln, NE 68506-1227
Phone (402) 489-9400
1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980
200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022
266 Joule St
Alcoa, TN 37701-2422
Phone (865) 984-3864
271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000
3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5000
35 Wilkens LN
Hyannis, MA 02601-2082
Phone (508) 862-5000
3555 Stagg Dr
Beaumont, TX 77701-4509
Phone (409) 212-5922
37868 US Hwy 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000
3916 Reaching Way
Soddy Daisy, TN 37379-8256
Phone (605) 322-4878
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
5 Stony Point Rd
Charleston, WV 25314-1663
Phone (307) 634-7711
500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (856) 848-3227
575 Beech St
Holyoke, MA 01040-2223
723 Memorial St
Prosser, WA 99350-1524
Phone 50978655995599
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 977-5567
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G194370 | CA | MD | Diagnostic Radiology Physician |
| ME139826 | FL | MD | Diagnostic Radiology Physician |
| MC-198 | GU | MD | Diagnostic Radiology Physician |
| 2018035939 | MO | MD | Diagnostic Radiology Physician |
| 15495 | ND | MD | Diagnostic Radiology Physician |
| V6434 | TX | MD | Diagnostic Radiology Physician |
| 15891 | WV | MD | Diagnostic Radiology Physician |
Practice roles (60 of 86)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Tallahassee PA | Diagnostic Radiology | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Cheyenne Radiology Group | Current | Accepting new patients | |
| Winnebago Tribe of Nebraska | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Avera McKennan | Diagnostic Radiology | Current | Accepting new patients |
| Radiologists of Cape Cod Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Trinity Health | Current | Accepting new patients | |
| Valley Radiology P a | Diagnostic Radiology | Current | Accepting new patients |
| Gibson Community Hospital Association | Current | Accepting new patients | |
| East Memphis Pet Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Memphis Physicians Radiological Group PC | Diagnostic Radiology | Current | Accepting new patients |
| NRHS Radiology Associates | Diagnostic Radiology | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Spartanburg Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Tulsa X-Ray Laboratory PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Hospital of Sheridan County | Family Medicine | Current | Accepting new patients |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Radiology Consultants PC | Diagnostic Radiology | Current | Accepting new patients |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Riverbend Medical Group, Inc | Current | Accepting new patients | |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Lincoln Radiology Group P C | Diagnostic Radiology | Current | Accepting new patients |
| Winnebago Tribe of Nebraska | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Western Mass Physician Associates Inc | Current | Accepting new patients | |
| Quantum Radiology, PC | Diagnostic Radiology | Current | Accepting new patients |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Guam X-Ray | Diagnostic Radiology | Current | Accepting new patients |
| Mahaska County Hospital | Family Medicine | Current | Accepting new patients |
| Great Plains Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiant Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Leconte Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Southern Radiology Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Memorial Hospital of Sheridan County | Current | Accepting new patients | |
| Diagnostic Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Lima Radiological Associates | Diagnostic Radiology | Current | Accepting new patients |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Spartanburg Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Baptist Physician Network | Current | Accepting new patients | |
| Madison Community Hospital | Current | Accepting new patients | |
| Concord Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Hegg Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Trinity Health | Current | Accepting new patients | |
| Tallahassee Diag Imaging Ctr LTD | Diagnostic Radiology | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients |
Locations (25 of 98)
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- tconner432794@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 89
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.
-
dba Kearney Radiologists
- Diagnostic Radiology Physician
- Kearney, NE
- NPI 1427089838
TN
-
- Emergency Medicine Physician
- Scottsbluff, NE
- NPI 1982718219
Diagnostic Radiology, TN
-
dba Allen Hospital
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
Diagnostic Radiology, TN
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
TN
-
- Specialist
- Beaumont, TX
- NPI 1558485532
-
dba Chickasaw Nation Medical Center
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
TX
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
dba Cape Fear Valley Professional Radiology Group
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
TN
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Guam Regional Medical City
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
-
dba Inpatient Psych Unit
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
dba Mercy Health-St Rita's Medical Center
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
-
dba Spartanburg Medical Center- Psychiatric Unit
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
dba Spartanburg Medical Center-Center for Rehabilitative Medicine
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1750385357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N 102ND ST STE 201",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142122",
"telephone_number": "833-228-6889",
"fax_number": "877-853-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17310 WRIGHT ST STE 103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302405",
"telephone_number": "833-228-6889",
"fax_number": "877-853-0376"
}
],
"practiceLocations": [
{
"address_1": "1 Burdick Expy W",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587014406",
"country_code": "US",
"telephone_number": "701-857-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2305 37th Ave SW",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587017669",
"country_code": "US",
"telephone_number": "701-857-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 Hospital Drive",
"address_2": "Radiology",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "63401",
"country_code": "US",
"telephone_number": "573-248-5301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNER",
"first_name": "TIMOTHY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "V6434",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2018035939",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "15891",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GU",
"license": "MTL-2023-028",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ND",
"license": "15495",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GU",
"license": "MC-198",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME139826",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WY",
"license": "11756C",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G194370",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14175",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0119966000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET INSURANCE",
"identifier": "F23457",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "0130753",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DOL & US POSTAL COMP",
"identifier": "151237200",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK & CARELINK PEIA",
"identifier": "14193",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP FEIN #",
"identifier": "55-0516458",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACORDIA NATIONAL PEIA",
"identifier": "550516458",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "020011800",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2047190",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "550516458",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64942105",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM BLUE & MS BCBS",
"identifier": "000034924",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.