TIMOTHY CHARLES KRUTH NP
NPI 1033481320
Nurse Practitioner - Family in Hillsboro, OR

Q: What is Timothy Kruth's NPI number?

The NPI number for Timothy Kruth is 1033481320. It was assigned to this individual provider in the NPPES registry on February 1, 2012.

Q: What is Timothy Kruth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Kruth was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2012PECOS Enrolled

10690 NE CORNELL RD STE 220, HILLSBORO, OR 97124(503) 848-5861(503) 848-5863 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2020, Oct 16, 2018, Oct 27, 2016 (3 updates tracked since 2016).

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About Timothy Charles Kruth Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY CHARLES KRUTH NP (NPI 1033481320) is an individual family provider in Hillsboro, Oregon, licensed in Oregon (201607743NP) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033481320

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTIMOTHY CHARLES KRUTHCredential: NP

Location Address10690 NE CORNELL RD STE 220Hillsboro, OR 97124-9224

Mailing Address7320 Sw Hunziker Rd Ste 300Portland, OR 97223-2302 · (503) 941-3077 · Fax (503) 747-7013

Phone(503) 848-5861

Fax(503) 848-5863

Sole ProprietorNo

Enumeration DateFebruary 1, 2012

Last NPPES UpdateApril 20, 20203 updates tracked since enumeration

NPPES CertifiedApril 20, 2020

✔ NPI 1033481320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 201607743NP

10690 NE CORNELL RD STE 220, Hillsboro, OR 97124

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Charles Kruth Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAHKAMEH MEHDIANRAD PA

Physician Assistant