Timothy J Humes, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036-088106 Issued in IL

Practice address

615 Valley View Dr
Suite 202
Moline, IL 61265-6180

Phone

(309) 762-1072

Fax

(309) 762-1094

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, WI2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Radiology, S.C.

  • Diagnostic Radiology Physician
  • Rock Island, IL
  • NPI 1790773539

  WI

  Medicare reassignment
• Metro MRI Center Limited Partnership

  • Radiology Clinic/Center
  • Moline, IL
  • NPI 1700862331
  NPD
• Ora Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Durant, IA
  • NPI 1639159700
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1780685529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656180",
            "telephone_number": "309-762-1072",
            "fax_number": "309-762-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656180",
            "telephone_number": "309-762-1072",
            "fax_number": "309-762-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMES",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "64138-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "31233",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-088106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Hornick
• Kpakpo Hounzouke Akue
• Charea Houston
• Rodney Clifford Howell, ARNP
• Sally Howell, OTR/L
• Chad Humphrey, P.T.
• Miryam T Hunter, LMSW
• Bryan Hurd
• Hurst Chiropractic
• Michael Hurst, DC

• Diagnostic Radiology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.

Verify at the official NPI Registry.