Individual provider Active NPI

Timothy L Stoner, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1790764959
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
77443 Issued in GA
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 042-0010203 VT
Diagnostic Radiology Physician 2085R0202X 016369 ME
Diagnostic Radiology Physician 2085R0202X 77443 GA Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20081027000792 FL Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Interventional Radiology 0042280653 Reassigns benefits to 5 organizations
I20200108001219 GA Practitioner - Diagnostic Radiology 0042280653 Reassigns benefits to 5 organizations
I20200108001349 AL Practitioner - Diagnostic Radiology 0042280653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rome Radiology Group PAGroup PAC ID 8921091695, 23 clinicians
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians
X-Ray Professional AssociationGroup PAC ID 8628086766, 9 clinicians

Practice addresses (Care Compare)

141 Providence Dr
Saint Augustine, FL 32092-5436
Phone (843) 597-5505

150 Gentilly Blvd
Cartersville, GA 30120-8522
Phone (770) 382-2580

1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (762) 235-2495

400 Northwodd Dr
Centre, AL 35960-1023
Phone (256) 927-5531

902 Jeffery St
Boca Raton, FL 33487-4108
Phone (207) 786-3571

Hospital & facility affiliations

  • Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054
  • Adventhealth Redmond Hospital, Rome, GA, CCN 110168
  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024
  • Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012
  • Adventhealth Gordon Hospital, Calhoun, GA, CCN 110023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016369MEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association Current Accepting new patients
Georgia Magnetic Imaging Center LTD Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Harbin Clinic, LLC CurrentSince Jan 1, 2020 Accepting new patients
Harbin Clinic, LLC CurrentSince Jan 1, 2020 Accepting new patients
Rome Imaging Associates CurrentSince Jan 1, 2020 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
Shields Pet/CT at CMMC, LLC CurrentSince Apr 1, 2026 Accepting new patients
North Country Hospital & Health Center Inc Diagnostic Radiology Past Accepting new patients

Locations

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

150 Gentilly Blvd
Cartersville, GA 30120
Phone (678) 719-7000

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

255 W 5th St SW
Ste 150
Rome, GA 30165
Phone (706) 232-1545

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

Organizations & group practices 12

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1790764959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONER",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042-0010203",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "016369",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "77443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.