Timothy Grissom, M.D.
NPI 1386695542 · Diagnostic Radiology Physician · Fort Wayne, IN
Timothy Grissom, M.D. is a Diagnostic Radiology Physician provider in Fort Wayne, IN (NPI 1386695542).
Provider details
- NPI number
- 1386695542
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- 01050244 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-13
- Last updated
- 2007-07-08
Frequently asked questions
- What is Timothy Grissom's NPI number?
- Timothy Grissom's National Provider Identifier (NPI) is 1386695542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Grissom's specialty?
- Timothy Grissom is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy Grissom located?
- Timothy Grissom's practice location on file with NPPES is 2200 Randallia Dr, Fort Wayne, IN 46805-4638.
- What is Timothy Grissom's phone number?
- The practice phone number listed in the NPPES registry for Timothy Grissom is (260) 373-4731.
- Is Timothy Grissom's NPI active?
- Yes — Timothy Grissom's NPI (1386695542) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.