Individual provider Active NPI

Timothy M. Noonan, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Katy, TX
National Provider Identifier
1811045289
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
L8867 Issued in TX
Practice address
23923 Cinco Ranch Blvd
Katy, TX 77494-3399
Phone
(713) 486-7575
Fax
(281) 769-9942
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X L8867 TX Primary

Addresses

Primary practice location

23923 Cinco Ranch Blvd
Katy, TX 77494-3399

Mailing address

6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 486-7500

Other identifiers 2

IdentifierTypeStateIssuer
8DZ427OtherTXBLUE CROSS BLUE SHIELD
194880402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040917000187 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 9537137674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-7000

23923 Cinco Ranch Blvd
Katy, TX 77494-3399
Phone (713) 486-5300

6410 Fannin St
Houston, TX 77030-3005

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Memorial Hermann Rehabilitation Hospital Katy Inpatient rehabilitation facility, Katy, TX, CCN 673038

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)26
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Aug 1, 2013 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2013 Accepting new patients
Katy Orthopedics & Sports Medicine PA PastSince Oct 3, 2007 Accepting new patients

Locations

6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

19770 Kingsland Blvd
Ste 300
Houston, TX 77094
Phone (281) 579-1011

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

23923 Cinco Ranch Blvd
Katy, TX 77494
Phone (713) 486-5300

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

Interoperability endpoints

  • Direct secure messaging: tnoonan14808@direct.uth.org
  • Direct secure messaging: timothy.noonan.1@12705.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1811045289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301526",
            "telephone_number": "713-486-7500",
            "fax_number": "713-512-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23923 CINCO RANCH BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943399",
            "telephone_number": "713-486-7575",
            "fax_number": "281-769-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "TIMOTHY",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "L8867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8DZ427",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194880402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.