DR. TIMOTHY PAUL BUKOWSKI MD
NPI 1104843556
Urology - Pediatric Urology in Raleigh, NC

Q: 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.

Q: What is Timothy Bukowski's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: 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.

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment

3821 ED DR, RALEIGH, NC 27612(919) 851-5482(919) 859-1729 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2021, Jan 15, 2020 (2 updates tracked since 2020).

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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

NPI1104843556

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameDR. TIMOTHY PAUL BUKOWSKICredential: MD

Location Address3821 ED DRRaleigh, NC 27612-8038

Mailing Address3821 Ed DrRaleigh, NC 27612-8038 · (919) 851-5482 · Fax (919) 859-1729

Phone(919) 851-5482

Fax(919) 859-1729

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1987

Enumeration DateJuly 15, 2006

Last NPPES UpdateJanuary 4, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2021

✔ NPI 1104843556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in NC · 9500849

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License 9500849 (NC)

3821 ED DR, Raleigh, NC 27612

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Other Identifiers 1

Medicaid8919639NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7416858964

PECOS Enrollment IDI20040116000808

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.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers15 claims1,170 services$1.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HEATHER L SCHAUBACH PA

Physician Assistant

3821 ED DR
RALEIGH, NC 27612

Wake County (919) 758-8677

MRS. HILDEGARDE MICHEL PERRY NP

Nurse Practitioner

3821 ED DR
RALEIGH, NC 27612

Wake County (919) 863-9441

HANNAH GRACE WILLARD PA

Physician Assistant

3821 ED DR
RALEIGH, NC 27612

Wake County (919) 758-8677

DR. JOSEPH D. NEIGHBORS JR. M.D.

Urology

3821 ED DR
RALEIGH, NC 27612

Wake County (919) 782-1255

DR. MARK W JALKUT MD

Urology

3821 ED DR
RALEIGH, NC 27612

Wake County (919) 782-1255

MARTHA BROOKE HARRIS PA-C

Physician Assistant

3821 ED DR
RALEIGH, NC 27612

Wake County (919) 758-8677

MIYAD MOVASSAGHI MD

Urology

3821 ED DR
RALEIGH, NC 27612

Wake County (919) 758-8677

CHELSEA ZURL PA-C

Physician Assistant

3821 ED DR
RALEIGH, NC 27612

Wake County (919) 758-8677

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.

What insurance does Timothy Bukowski accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC 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.