Individual provider Active NPI

Timothy M McAuliff, M.D.

  • General Practice Physician
  • Richardson, TX
National Provider Identifier
1821320177
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
P5553 Issued in TX
Practice address
3013 E Renner Rd Ste 120
Richardson, TX 75082-3577
Phone
(469) 931-0684
Fax
(469) 931-0712
NPI assigned
Feb 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 26492 NE
General Practice Physician 208D00000X P5553 TX Primary

Addresses

Primary practice location

3013 E Renner Rd Ste 120
Richardson, TX 75082-3577

Mailing address

5301 W Spring Creek Pkwy Apt 2234
Plano, TX 75024-4912
Phone (940) 781-8642

Other names 1

  • Tim McAuliff Other name

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
I20140121000867 TX Practitioner - General PracticePractitioner - Emergency MedicinePractitioner - Family Practice 4183852155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
University of Nebraska College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Emergency Medicine Group, LLPGroup PAC ID 5092046482, 14 clinicians

Practice addresses (Care Compare)

1301 Montgomery Rd
Graham, TX 76450-4240
Phone (940) 549-3400

Hospital & facility affiliations

  • Graham Regional Medical Center Hospital, Graham, TX, CCN 671300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26492NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Emergency Medicine Group, LLP CurrentSince May 19, 2020 Accepting new patients
Convergent Diagnostics, LLC CurrentSince Dec 6, 2020 Accepting new patients
Amin Kamali, DO, PA Past Accepting new patients
Weiguo Zhou, MD, PA Past Accepting new patients
Medical Health Services PLLC General Practice PastSince Oct 1, 2019 Accepting new patients

Locations

718 S Greenville Ave
Ste 100
Allen, TX 75002
Phone (214) 501-5171

1301 Montgomery Rd
Graham, TX 76450
Phone (940) 521-5360

4011 E Renner Rd
Ste 110
Richardson, TX 75082
Phone (469) 931-0684

Organizations & group practices 5

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 1

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": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1821320177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 W SPRING CREEK PKWY APT 2234",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244912",
            "telephone_number": "940-781-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 E RENNER RD STE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823577",
            "telephone_number": "469-931-0684",
            "fax_number": "469-931-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULIFF",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "26492",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "P5553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIM",
            "last_name": "MCAULIFF",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.