Michael Timins, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

32158 Issued in WI

Practice address

350 S Greenleaf St Ste 401
Gurnee, IL 60031-5709

Phone

(314) 238-5260

Fax

(314) 821-1833

NPI assigned

May 15, 2006

Last updated

Aug 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WI, IL2 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

Specialty

Diagnostic Radiology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Diaspora Radiology SCGroup PAC ID 0547501942, 6 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diaspora Radiology, SC

  dba Smart Scan Medical Imaging, SC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Northbrook, IL
  • NPI 1730652017

  Diagnostic Radiology, WI

  Medicare reassignment Care Compare group NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  IL

  Medicare reassignment Care Compare group NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448
  Medicare reassignment NPD
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086
  Medicare reassignment NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wauwatosa, WI
  • NPI 1154947224
  NPD
• Illinois Bone and Joint Institute LLC

  • Orthopaedic Surgery Physician
  • Bannockburn, IL
  • NPI 1205922432
  NPD (past)
• Interventional Procedures Group LTD

  dba Center for Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Wauwatosa, WI
  • NPI 1003869140
  NPD (past)
• Medical Scanning Consultants, P.a.

  dba Rayus Radiology

  • Diagnostic Radiology Physician
  • Wauwatosa, WI
  • NPI 1811919426
  NPD (past)
• Smart Scan Medical Imaging - Eau Claire, LLC

  • Radiology Clinic/Center
  • Eau Claire, WI
  • NPI 1710723648
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1851342505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772555",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772555",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S GREENLEAF ST STE 401",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315709",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Mulberry Ln",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600625937",
            "country_code": "US",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 Florsheim Dr",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483757",
            "country_code": "US",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMINS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "32158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "002000136V",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078979",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851342505",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300040353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lashawn C Thomas
• Praveena Ann Thomas, PA-C
• Lisa S Thompson, M.D.
• Lynda Throm
• Tien C. Cheng, MD,SC
• Irina Timoshevskaya, PA-C
• Timothy Casey DPM PC
• Timothy L. Straka D.D.S., L.L.C.
• Timothy V Erdle DMD PLLC (Institute of Dental Implants and Periodontics)
• Claudia Tiwet, MD

• Diagnostic Radiology Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.