TIMOTHY JOHN HOLLERAN
NPI 1396240842
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
3800 RESERVOIR RD NW, WASHINGTON, DC 20007(202) 444-5022(202) 444-7987 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy John Holleran NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY JOHN HOLLERAN (NPI 1396240842) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1396240842
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY JOHN HOLLERAN
Location Address3800 RESERVOIR RD NWWashington, DC 20007-2113
Mailing Address3800 Reservoir Rd NwWashington, DC 20007-2113 · (202) 444-5022 · Fax (202) 444-7987
Fax(202) 444-7987
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 27, 2018
NPI 1396240842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3800 RESERVOIR RD NW, Washington, DC 20007

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy John Holleran is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052811346
PECOS Enrollment IDI20250821002841
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
3800 RESERVOIR RD NW, CG201
WASHINGTON, DC 20007
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
Nurse Practitioner (Family)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
Physical Therapy Assistant
3800 RESERVOIR RD NW, PHYSICAL MEDICINE AND REHBAILITATION DEPARTMENT
WASHINGTON, DC 20007
Physician Assistant (Surgical)
3800 RESERVOIR RD NW, NEUROSURGERY DEPARTMENT
WASHINGTON, DC 20007
Radiology (Vascular & Interventional Radiology)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
Radiology (Radiation Oncology)
3800 RESERVOIR RD NW
WASHINGTON, DC 20007
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR RD NW
WASHINGTON, DC 20007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Holleran's NPI number?

The NPI number for Timothy Holleran is 1396240842. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Timothy Holleran located?

Timothy Holleran practices at 3800 Reservoir Rd NW, Washington, DC 20007. The listed phone number is (202) 444-5022.

What is Timothy Holleran's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Timothy Holleran enrolled in Medicare?

Yes. Timothy Holleran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Timothy Holleran affiliated with any hospitals?

According to CMS data, Timothy Holleran is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Timothy Holleran was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.