Individual provider Active NPI

Timothy Connor Leupp, M.D.

  • Internal Medicine Physician
  • Bangor, ME
National Provider Identifier
1760760474
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20249 Issued in ME
Practice address
489 State St
Bangor, ME 04401-6616
Phone
(207) 973-6605
NPI assigned
Jul 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.61472437 WA
Internal Medicine Physician 207R00000X 407-320 WI
Internal Medicine Physician 207R00000X MD-42960 IA
Internal Medicine Physician 207R00000X 4301112613 MI
Internal Medicine Physician 207R00000X 13159316-1205 UT
Internal Medicine Physician 207R00000X 62389 MN
Internal Medicine Physician 207R00000X 269905-1 NY
Internal Medicine Physician 207R00000X 13065 SD
Internal Medicine Physician 207R00000X CDR.0001479 CO
Hospitalist Physician 208M00000X CDR.0001479 CO
Internal Medicine Physician 207R00000X 20249 ME Primary

Addresses

Primary practice location

489 State St
Bangor, ME 04401-6616

Mailing address

1650 Wewatta St Apt 2021
Denver, CO 80202-6280
Phone (917) 554-8052

Other practice location 1

2351 G Rd
Grand Junction, CO 81505-9641
Phone (970) 242-0920

Other practice location 2

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-1000

Other practice location 3

800 E 28th St
Minneapolis, MN 55407-3799
Phone (612) 863-4000

Other practice location 4

11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NY, WI, SD, WA, CO, TX7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20131121001401 ME Practitioner - HospitalistPractitioner - Internal Medicine 3072749068
I20140108000369 NY Practitioner - Internal Medicine 3072749068 Reassigns benefits to 1 organization
I20190711001000 WI Practitioner - Internal Medicine 3072749068 Reassigns benefits to 1 organization
I20220113002665 SD Practitioner - Internal Medicine 3072749068 Reassigns benefits to 2 organizations
I20231031002997 WA Practitioner - Internal Medicine 3072749068 Reassigns benefits to 1 organization
I20240826001065 CO Practitioner - HospitalistPractitioner - Internal Medicine 3072749068 Reassigns benefits to 2 organizations
I20241023002533 TX Practitioner - Internal Medicine 3072749068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Grant County Public Hospital District 1Group PAC ID 9931095692, 112 clinicians
Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians

Practice addresses (Care Compare)

11600 W 2ND PL
SHHG Hospitalists Sah
Lakewood, CO 80228-1527
Phone (720) 321-0000

2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone (509) 765-5606

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-1000

Hospital & facility affiliations

  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104
  • Samaritan Hospital Hospital, Moses Lake, WA, CCN 500033
  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0001479COMDInternal Medicine Physician
MD-42960IAMDInternal Medicine Physician
20249MEMDInternal Medicine Physician
269905-1NYMDInternal Medicine Physician
13159316-1205UTMDInternal Medicine Physician
MD.61472437WAMDInternal Medicine Physician
407-320WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2025 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2025 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Jul 15, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Network, Inc. CurrentSince Dec 17, 2021 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Oct 10, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Dec 8, 2021 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Jun 15, 2019 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC Internal Medicine CurrentSince Sep 16, 2024 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist Current Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2014 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Dec 8, 2021 Accepting new patients
Monument Health Network, Inc. CurrentSince Dec 17, 2021 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Jun 15, 2019 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Oct 10, 2023 Accepting new patients
Grant County Public Hospital District 1 Current Accepting new patients
Sacred Heart Rehabilitation Institute, Inc. PastSince Jun 21, 2022 Accepting new patients
Colorado West Healthcare System Past Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

111 E 210th St
Bronx, NY 10467

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

660 S Coolidge St
Moses Lake, WA 98837

2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

Interoperability endpoints

  • Direct secure messaging: tleupp.105065@regionalhealth.sdhealthlink.net

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1760760474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 WEWATTA ST APT 2021",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026280",
            "telephone_number": "917-554-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-6605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2351 G Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815059641",
            "country_code": "US",
            "telephone_number": "970-242-0920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 Fairmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017375",
            "country_code": "US",
            "telephone_number": "605-755-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E 28th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073799",
            "country_code": "US",
            "telephone_number": "612-863-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-1759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEUPP",
        "first_name": "TIMOTHY",
        "middle_name": "CONNOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD.61472437",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "407-320",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-42960",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301112613",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "13159316-1205",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "62389",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "269905-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "13065",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CDR.0001479",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "CDR.0001479",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "20249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.