Individual provider Active NPI

Timothy Ryan Gloyd, M.D., M.P.H.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1760725204
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57642 Issued in AZ
Practice address
4350 E Camelback Rd Ste F100
Phoenix, AZ 85018-8313
Phone
(602) 955-8700
Fax
(602) 553-8142
NPI assigned
Apr 3, 2013
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q8252 TX
Family Medicine Physician 207Q00000X MD2015-0161 NM
Family Medicine Physician 207Q00000X 57642 AZ Primary

Addresses

Primary practice location

4350 E Camelback Rd Ste F100
Phoenix, AZ 85018-8313

Mailing address

4350 E Camelback Rd Ste F100
Phoenix, AZ 85018-8313
Phone (602) 955-8700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190726001687 AZ Practitioner - Family Practice 9739312091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Wellness ResourcesGroup PAC ID 6002296506, 37 clinicians
Family Practice Specialists LTD.Group PAC ID 6608851688, 4 clinicians

Practice addresses (Care Compare)

3501 N Scottsdale Rd
Suite 231
Scottsdale, AZ 85251-5649
Phone (855) 893-5637

4600 E Shea Blvd
Suite 100
Phoenix, AZ 85028-6031
Phone (602) 955-8700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2015-0161NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Wellness Resources Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Family Practice Specialists LTD. Family Medicine CurrentSince Sep 3, 2019 Accepting new patients

Locations

4350 E Camelback Rd
Ste F100
Phoenix, AZ 85018
Phone (602) 955-8700

4600 E Shea Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 955-8700

3501 N Scottsdale Rd
Ste 231
Scottsdale, AZ 85251
Phone (480) 882-4770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1482/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timothy.gloyd.1@1482.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1760725204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK RD STE F100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188313",
            "telephone_number": "602-955-8700",
            "fax_number": "602-553-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E CAMELBACK RD STE F100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188313",
            "telephone_number": "602-955-8700",
            "fax_number": "602-553-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOYD",
        "first_name": "TIMOTHY",
        "middle_name": "RYAN",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q8252",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2015-0161",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "57642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.