Active NPI
Timothy Connor Leupp, M.D.
- Internal Medicine Physician
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20249
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Mercy Regional Medical Center
- Centura Health-St Anthony North Health Campus
- Samaritan Hospital
- Centura Health-St Anthony Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDR.0001479 | CO | MD | Internal Medicine Physician |
| MD-42960 | IA | MD | Internal Medicine Physician |
| 20249 | ME | MD | Internal Medicine Physician |
| 269905-1 | NY | MD | Internal Medicine Physician |
| 13159316-1205 | UT | MD | Internal Medicine Physician |
| MD.61472437 | WA | MD | Internal Medicine Physician |
| 407-320 | WI | MD | Internal Medicine Physician |
Practice roles
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
- 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Rural Health Clinic/Center
- Moses Lake, WA
- NPI 1619086766
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
- Hospitalist Physician
- Englewood, CO
- NPI 1265806178
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Multi-Specialty Clinic/Center
- Hot Springs, SD
- NPI 1588185268
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
- Otolaryngology Physician
- Frisco, CO
- NPI 1144839226
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Hospitalist Physician
- Denver, CO
- NPI 1669115747
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
Hospital & facility affiliations 27
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1619985942
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1013557545
-
- General Acute Care Hospital
- Durango, CO
- NPI 1083611644
-
- Emergency Care Clinic/Center
- Westminster, CO
- NPI 1093355604
Hospital
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1568002095
-
- General Acute Care Hospital
- Durango, CO
- NPI 1588204010
-
- General Acute Care Hospital
- Durango, CO
- NPI 1679113104
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
-
- General Acute Care Hospital
- Aztec, NM
- NPI 1770123382
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1831739440
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.