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

Timothy Ebbitt, MD

Individual provider Diagnostic Radiology Physician · NPI 1487986725

Timothy Ebbitt, MD is a Diagnostic Radiology in St Louis Park, Minnesota. Graduated from New York Medical College in 2009, 17 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Trained at
New York Medical College
Licensed in
MN
In the registry since
2010
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

6500 Excelsior Blvd
St Louis Park, MN 55426
Phone: (952) 993-1000
Show map & directions

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

Additional practice locations (3)

  • 8100 Northland Dr, Bloomington, MN 55431-4800 — (952) 831-8742
  • 7505 Metro Blvd, Edina, MN 55439-3081 — (612) 573-2200
  • 7505 Metro Blvd, Edina, MN 55439-3081 — (612) 573-2200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 58928 (MN)

Record details

NPI number1487986725
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 11, 2010
Last updated in NPPESJuly 19, 2019
Mailing address6500 Excelsior Blvd, St Louis Park, MN 55426-4702

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2009 (17 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations19 on file with Medicare

Other providers in St Louis Park