DR. TIMOTHY J MICKLOS M.D.
NPI 1629023742
Radiology - Diagnostic Radiology in Murray, UT

Active since May 24, 2006
5444 GREEN ST, MURRAY, UT 84123(801) 262-8120(801) 262-5721 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Timothy J Micklos M.d. NPPES

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

DR. TIMOTHY J MICKLOS M.D. (NPI 1629023742) is an individual diagnostic radiology provider in Murray, Utah, licensed in Utah (172983-1205) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1629023742
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. TIMOTHY J MICKLOSCredential: M.D.
Location Address5444 GREEN STMurray, UT 84123-5632
Mailing Address5444 Green StMurray, UT 84123-5632 · (801) 262-2647 · Fax (801) 262-3897
Fax(801) 262-5721
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateSeptember 7, 2012
NPI 1629023742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in UT · 172983-1205 Licensed in ID · M-8397
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5444 GREEN ST, Murray, UT 84123

Other Identifiers 3

Medicaid08091UT
Medicare UPINC63884UT
Medicare PIN005542719UT

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
98%163 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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)
5444 GREEN ST
MURRAY, UT 84123
Radiology (Diagnostic Radiology)
5444 GREEN ST
MURRAY, UT 84123
Radiologic Technologist (Radiography)
5444 GREEN ST
MURRAY, UT 84123
Physician Assistant (Surgical)
5444 GREEN ST
MURRAY, UT 84123
Nurse Practitioner
5444 GREEN ST
MURRAY, UT 84123
Physician Assistant
5444 GREEN ST
MURRAY, UT 84123
Physician Assistant
5444 GREEN ST
MURRAY, UT 84123
Radiology (Vascular & Interventional Radiology)
5444 GREEN ST
MURRAY, UT 84123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629023742, enumerated as an "individual" on May 24, 2006.

The provider is located at 5444 GREEN ST MURRAY, UT 84123 and the phone number is (801) 262-8120.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.