Timothy James Niesen, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

MD461182 Issued in PA

Practice address

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Phone

(302) 733-1806

Fax

(302) 733-1808

NPI assigned

Apr 19, 2011

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 PA, DE2 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.

• Christiana Care Health Services Inc

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1942553615

  DE, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Christiana Care Health Services Inc

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1952335556

  Diagnostic Radiology, PA

  Medicare reassignment Care Compare group NPD
• Christiana Care Health Services, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107

  DE

  Medicare reassignment Care Compare group NPD
• Christiana Care Health Services Inc

  • Cardiovascular Disease Physician
  • West Grove, PA
  • NPI 1659547560

  PA

  Medicare reassignment Care Compare group NPD
• Christiana Care Pennsylvania Inc

  • Diagnostic Radiology Physician
  • West Grove, PA
  • NPI 1467298299

  Diagnostic Radiology, PA

  Medicare reassignment Care Compare group NPD
• Mercy Diagnostic Imaging PC

  • Diagnostic Radiology Physician
  • Darby, PA
  • NPI 1477509768

  Diagnostic Radiology, PA

  Medicare reassignment NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342

  PA

  Medicare reassignment NPD
• Christiana Care Health Services Inc

  • Family Medicine Physician
  • Rehoboth Beach, DE
  • NPI 1023732203
  Care Compare group
• Christiana Care Health Services Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
  • NPI 1194073411
  Care Compare group
• Christiana Care Health Services Inc

  • Hospitalist Physician
  • Newark, DE
  • NPI 1245474329
  Care Compare group
• Christiana Care Health Services Inc

  • Pulmonary Disease Physician
  • Newark, DE
  • NPI 1255618070
  Care Compare group
• Christiana Care Health Services Inc

  • Neurology Physician
  • Newark, DE
  • NPI 1457593949
  Care Compare group

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

• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486

  Hospital

  Care Compare affiliation
• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

Drexel University College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christiana Care Health Services Inc 1,480 clinicians

Christiana Care Pennsylvania Inc 176 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001
• Beebe Medical Center Hospital, Lewes, DE, CCN 080007

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1780974105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1806",
            "fax_number": "302-733-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1806",
            "fax_number": "302-733-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESEN",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0010245",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "DE",
            "license": "C1-0010245",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD461182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Nicholasen, MD
• Erin Nichols
• Marcia Nichols, MS, LBSW
• Zoey Nichols, GC
• Stephen Andrew Niemoeller, DMD
• Jill Nigro, MSP, CCC-SLP
• Nikolay Mindadze, MD,LLC
• Chaitanya Venkat Nimmagadda
• Farzana Nisar
• Bruce C Nisbet, MD

• All providers in Newark, DE
• Vascular & Interventional Radiology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.

Verify at the official NPI Registry.