Individual provider Active NPI

Timothy David Lee, MD

  • Diagnostic Radiology Physician
  • Carmichael, CA
National Provider Identifier
1790728020
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A81416 Issued in CA
Practice address
6305 Coyle Avenue
Carmichael, CA 95608-0438
Phone
(916) 961-6920
Fax
(916) 966-5063
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A81416 CA Primary

Addresses

Primary practice location

6305 Coyle Avenue
Carmichael, CA 95608-0438

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060210000532 CA Practitioner - Diagnostic Radiology 3274548300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1050 Iron Point Rd
Folsom, CA 95630-8013
Phone (916) 986-5230

107 Margaret LN
Grass Valley, CA 95945-5211
Phone (530) 247-9623

1380 Lead Hill Blvd
Suite 100
Roseville, CA 95661-2997
Phone (916) 535-2030

155 Glasson Way
Suite L 10
Grass Valley, CA 95945-5723
Phone (530) 274-6677

1635 Creekside Dr
Suite 100
Folsom, CA 95630-3830
Phone (916) 986-5200

1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7476

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

2081 Bronze Star Dr
Woodland, CA 95776-5423
Phone (530) 668-2600

2110 Professional Dr
Roseville, CA 95661-3779

2330 W Covell Blvd
Davis, CA 95616-5658
Phone (530) 666-1631

3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319

3301 C St
Suite 500
Sacramento, CA 95816-3372
Phone (916) 556-3300

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4414

6305 Coyle Ave
Carmichael, CA 95608-0438
Phone (916) 535-2000

632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 668-2600

6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5190

6511 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 556-3300

6555 Coyle Ave
Carmichael, CA 95608-0302

7500 Hospital Dr
Sacramento, CA 95823-5403
Phone (916) 423-6176

9394 Big Horn Blvd
Elk Grove, CA 95758-7977
Phone (916) 691-8500

Hospital & facility affiliations

  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
  • Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590
  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81416CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Oct 30, 2010 Accepting new patients
Dignity Health Medical Foundation CurrentSince Oct 30, 2010 Accepting new patients
Catholic Healthcare West Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients

Locations (25 of 32)

3581 Palmer Dr
Ste 401
Cameron Park, CA 95682
Phone (530) 676-4122

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

6305 Coyle Ave
Carmichael, CA 95608
Phone (916) 961-6920

6403 Coyle Ave
Ste 250
Carmichael, CA 95608
Phone (916) 961-2820

6555 Coyle Ave
Carmichael, CA 95608
Phone (916) 536-2500

6555 Coyle Ave
Ste 380
Carmichael, CA 95608
Phone (916) 536-3600

6660 Coyle Ave
Ste 360
Carmichael, CA 95608
Phone (916) 536-3060

8001 Madison Ave
Citrus Hts, CA 95610
Phone (916) 536-2420

1264 Hawks Flight Ct
Ste 100
El Dorado Hills, CA 95762
Phone (916) 933-4222

8220 Wymark Dr
Ste 101
Elk Grove, CA 95757
Phone (916) 667-0750

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

1635 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (916) 986-5200

1625 Creekside Dr
Ste 101
Folsom, CA 95630
Phone (916) 984-1866

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1380 Lead Hill Blvd
Ste 100
Roseville, CA 95661
Phone (916) 535-2030

2110 Professional Dr
Ste 190
Roseville, CA 95661
Phone (916) 787-0404

2110 Professional Dr
Ste 120
Roseville, CA 95661
Phone (916) 536-2500

3301 C St
Ste 550
Sacramento, CA 95816
Phone (916) 556-3200

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3939 J St
Ste 250
Sacramento, CA 95819
Phone (916) 733-6901

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

3000 Q St
Fl 1
Sacramento, CA 95816
Phone (916) 733-3301

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1790728020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 COYLE AVENUE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080438",
            "telephone_number": "916-961-6920",
            "fax_number": "916-966-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A81416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.