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TIMOTHY DOMAN DO
NPI 1063200780
Student in an Organized Health Care Education/Training Program in Des Moines, IA

Active since April 30, 2025PECOS Enrolled
1801 HICKMAN RD, DES MOINES, IA 50314(515) 282-5640 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Doman Do NPPES

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

TIMOTHY DOMAN DO (NPI 1063200780) is an individual student in an organized health care education/training program in Des Moines, Iowa and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063200780
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY DOMANCredential: DO
Location Address1801 HICKMAN RDDes Moines, IA 50314-1597
Mailing Address400 E Locust St Unit 217Des Moines, IA 50309-1936 · (248) 251-6749
Phone(515) 282-5640
Sole ProprietorYes
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1063200780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1801 HICKMAN RD, Des Moines, IA 50314
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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 Doman Do 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.

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.

MATTHEW HELMICK WILLIAMS D.O.
Family Medicine
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-5640
ALEX YEONWOO KIM DO
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
CAMERON MATTHIAS GREINER DO
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
MARK DYKEN MD
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
KELLI GREEN MD
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314
Polk County (515) 282-2319
KATRINA COEN
Pharmacist
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2378
NICOLE RENEE SLIVA OTR/L
Occupational Therapist
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-5621
GARY HUDSON PA-C
Physician Assistant
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Doman's NPI number?

The NPI number for Timothy Doman is 1063200780. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Timothy Doman located?

Timothy Doman practices at 1801 Hickman Rd, Des Moines, IA 50314. The listed phone number is (515) 282-5640.

What is Timothy Doman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Timothy Doman enrolled in Medicare?

Yes. Timothy Doman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Doman was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.