Timothy Black, DPM

ActiveIndividual ProviderPodiatry
NPI issued: July 31, 2007

Quick Facts

NPI Number
1578753091
TypeIndividual
StatusActive
SpecialtyPodiatry
Taxonomy213E00000X — Podiatry
Phone
(208) 528-8700
StateID

NPI Validation Status: Verified

Valid 10-digit NPI number (1578753091)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 31, 2007)
Data source: CMS NPPES

Provider Overview

TIMOTHY BLACK, DPM is a Podiatry provider based in Idaho Falls, ID who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1578753091
Provider TypeIndividual Provider
GenderMale
CredentialDPM
StatusActive
Enumeration DateJuly 31, 2007

Practice Location

CityIdaho Falls
StateID
ZIP Code83404-7573
Phone(208) 528-8700

Specialties & Licenses

★ Primary
SpecialtyPodiatry
Taxonomy Code213E00000X
License StateID

Mailing Address

CityIdaho Falls
StateID
ZIP Code83404-7573
Phone(208) 528-8700
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1578753091 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1578753091for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1578753091 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Podiatry

Specialists in Podiatry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
17,092
Podiatry Providers in the US

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People Also Ask

What is Timothy Black's NPI number?
Timothy Black's NPI number is 1578753091, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Timothy Black's NPI currently active?
Yes, Timothy Black's NPI status is Active as of the latest CMS NPPES database updates.
What does Timothy Black specialize in?
Timothy Black specializes in Podiatry. The healthcare taxonomy code associated with this specialty is 213E00000X.
Where does Timothy Black practice?
Timothy Black practices in Idaho Falls, ID 83404-7573.
When was Timothy Black's NPI issued?
Timothy Black's NPI was issued on July 31, 2007.
What is Timothy Black's provider type?
Timothy Black is registered as an Individual Provider under CMS NPI Type 1.