Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy John Mickus, MD

Individual provider Diagnostic Neuroimaging (Radiology) Physician · NPI 1114153855

Dr. Timothy John Mickus, MD is a Diagnostic Radiology in Pittsburgh, Pennsylvania. Graduated from Vanderbilt University School of Medicine in 2004, 22 years ago. Practices with Chautauqua Medical Practice PC, a 100-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Trained at
Vanderbilt University School of Medicine
Licensed in
PA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

320 E North Ave
Pittsburgh, PA 15212-4756
Phone: (412) 359-2459
Fax: (412) 359-8233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Neuroimaging (Radiology) Physician (primary) Taxonomy 2085D0003X · Licence MD434566 (PA)

Record details

NPI number1114153855
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2009
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Chautauqua Medical Practice Pc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare