DR. TIMOTHY CRAIG HUDSON (D.O.) – Pediatric Anesthesiology Physician, NPI 1487814315

DR. TIMOTHY CRAIG HUDSON (D.O.) is a healthcare provider. based in Grand rapids, Michigan. specializing in Pediatric Anesthesiology Physician. They hold the professional credentials D.O.. They hold a License No. V3326 (TX). The NPI Number for DR. TIMOTHY CRAIG HUDSON (D.O.) is 1487814315

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY CRAIG HUDSON (D.O.)
NPI
1487814315
Phone
(616) 364-4200
Address
3333 EVERGREEN DR NE
Enumeration Date
13 June 2008
Last Update Date
15 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163919000
Graduation Year
2008 (18 years ago)
PAC ID
2567692254
Group Practice PAC ID
1355243551
Professional Enrollment ID
I20140225000782
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:17State licenses:2Digital endpointsOther names

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Provider Addresses for DR. TIMOTHY CRAIG HUDSON (D.O.)

  • 3333, Evergreen Drive Northeast, Evergreen Lake Office Park, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States

    GRAND RAPIDS, MI 495259493

    Phone: (616) 364-4200

    Fax: (616) 364-7347

    Type: Location

  • 3333 Evergreen Dr NE

    Grand Rapids, MI 495259493

    Phone: (616) 364-4200

    Fax: (616) 364-7347

    Type: Location

  • 7700 FLOYD CURL DR

    SAN ANTONIO, TX 782293902

    Phone: (210) 575-8505

    Fax: (210) 575-0167

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2023-06-26 • Largest payer in this snapshot: Abbott Laboratories ($35).

Total Amount

$35

General + Research + Ownership

Payments

1

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$35
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140225000782IAnesthesiologyMITBD
I20241120003467IAnesthesiologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49525)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355243551View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
-MI
-MI
-MI
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

Is DR. TIMOTHY CRAIG HUDSON (D.O.) listed with a National Provider Identifier?
Yes — DR. TIMOTHY CRAIG HUDSON (D.O.) has NPI 1487814315 on file in the registry.
Is DR. TIMOTHY CRAIG HUDSON (D.O.) still an active registrant?
DR. TIMOTHY CRAIG HUDSON (D.O.) carries an active NPI according to the public dataset.
How would a patient describe DR. TIMOTHY CRAIG HUDSON (D.O.)'s focus?
For DR. TIMOTHY CRAIG HUDSON (D.O.), the primary taxonomy reads as Pediatric Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. TIMOTHY CRAIG HUDSON (D.O.)?
Directory geography for DR. TIMOTHY CRAIG HUDSON (D.O.) centers on Grand Rapids, Michigan.
Can I trust this NPI listing for DR. TIMOTHY CRAIG HUDSON (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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