DR. TIMOTHY PAUL BUKOWSKI MD
NPI 1104843556
Urology - Pediatric Urology in Raleigh, NC
About Dr. Timothy Paul Bukowski Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY PAUL BUKOWSKI MD (NPI 1104843556) is an individual pediatric urology provider in Raleigh, North Carolina, licensed in North Carolina (9500849) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Timothy Paul Bukowski Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Timothy Bukowski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 997 clinicians in this Medicare group
Raleigh, NC 27608
- Reassigned Medicare billing, North Carolina enrollment
- 2,797 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bukowski's NPI number?
The NPI number for Timothy Bukowski is 1104843556. It was assigned to this individual provider in the NPPES registry on July 15, 2006.
Where is Timothy Bukowski located?
Timothy Bukowski practices at 3821 Ed Dr, Raleigh, NC 27612. The listed phone number is (919) 851-5482.
What is Timothy Bukowski's specialty?
The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.
Is Timothy Bukowski enrolled in Medicare?
Yes. Timothy Bukowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Timothy Bukowski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Bukowski reassigns Medicare benefits to 2 organizations: Wakemed Specialists Group, LLC (Raleigh, NC) and University Of North Carolina At Chapel Hill (Raleigh, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Bukowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Bukowski accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Timothy Bukowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Timothy Bukowski was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Timothy Paul Bukowski, MD · NPI 1104843556
Pediatric Urology physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since July 15, 2006.
## Identity
- **NPI:** 1104843556 (Entity type: Individual)
- **Enumerated:** July 15, 2006
- **Primary specialty:** Urology - Pediatric Urology · taxonomy 2088P0231X
- **State license:** 9500849 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3821 ED DR, Raleigh, NC 27612-8038
- **Phone:** (919) 851-5482 · **Fax:** (919) 859-1729
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wakemed Specialists Group, LLC (NPI 1497431837, Raleigh, NC); University Of North Carolina At Chapel Hill (NPI 1972912285, Raleigh, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 1987
## Record status
- **NPPES last updated:** January 4, 2021
- **Other identifiers:** Medicaid 8919639 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1104843556) · Data from the CMS NPPES public registry.