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TIMOTHY D DIVENS MD NPI 1164416475


NPI Information

NPI: 1164416475
Provider Name: TIMOTHY D DIVENS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: RADIOLOGY OF INDIANA PC

PECOS Registration: Yes

Address:
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 579-2150
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Timothy D Divens, MD is a diagnostic radiology radiology in Indianapolis, IN with 35 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Timothy D Divens, MD NPI is 1164416475. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN
ZIP 46256-307
Phone: (317) 579-2150
Fax: (317) 579-2130

The NPI 1164416475 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of abdomen, single view (HCPCS:74000)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasound pelvis through vagina (HCPCS:76830)

The enumeration date for this NPI number is 9/1/2005 and was last updated on 12/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology1050545INDIANANo
22085R0204XRadiologyVascular & Interventional Radiology01050545AINDIANANo
32085R0202XRadiologyDiagnostic Radiology01050545AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00023582OTHERRAILROAD MEDICARE
2P00024421OTHERRAILROAD MEDICARE
3P000233634OTHERRAILROAD MEDICARE
4P00023583OTHERRAILROAD MEDICARE
5P00023634OTHERRAILROAD MEDICARE
6P00023584OTHERRAILROAD MEDICARE
7P00024059OTHERRAILROAD MEDICARE
8P00023585OTHERRAILROAD MEDICARE
9P00024122OTHERRAILROAD MEDICARE
10P00024419OTHERRAILROAD MEDICARE
11P00346514OTHERRAILROAD MEDICARE
12P00024260OTHERRAILROAD MEDICARE
1320025310AMEDICAIDINDIANA
14300124562OTHERINDIANARAILROAD MEDICARE
15000000204809OTHERINDIANAANTHEM
16300138597OTHERRAILROAD MEDICARE
17P00024079OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.