1. Home
  2. Directory
  3. California
  4. Simi Valley
  5. Family Medicine
  6. NPI Profile

TIM MCNICOLL MD INC
NPI 1144475864
Family Medicine in Simi Valley, CA

Active since November 21, 2008
2876 SYCAMORE DR, SUITE 101, SIMI VALLEY, CA 93065(805) 527-6424(805) 522-0115 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tim Mcnicoll Md Inc NPPES

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

TIM MCNICOLL MD INC (NPI 1144475864) is a healthcare organization registered as a family medicine in Simi Valley, California and active in the NPI registry since November 2008. The organization lists Timothy J Mcnicoll, President/owner, as its authorized official.

NPPES Registry Identity

NPI1144475864
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIM MCNICOLL MD INC
Location Address2876 SYCAMORE DR, SUITE 101Simi Valley, CA 93065-1530
Mailing Address2876 Sycamore Dr, Suite 101Simi Valley, CA 93065-1530 · (805) 527-6424 · Fax (805) 522-0115
Phone(805) 527-6424
Fax(805) 522-0115
Organization SubpartNo
Authorized OfficialTimothy J McnicollPresident/owner · (805) 527-6424
Enumeration DateNovember 21, 2008
Last NPPES UpdateFebruary 3, 2009
✔ NPI 1144475864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G48100
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2876 SYCAMORE DR, Simi Valley, CA 93065
Open in Google Maps ↗

Other Identifiers 3

Medicaid00G481000CA
Medicare PING48100CA
Medicare UPINE89826CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tim Mcnicoll Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tim Mcnicoll MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Mcnicoll, M.D.
Hospitalist
NPI 1790750115
1180 NEWFIELD AVE
Stamford, CT 06905
(314) 888-5233
✔ PECOS✔ Accepts Medicare2,493 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tim Mcnicoll MD Inc's NPI number?

The NPI number for Tim Mcnicoll MD Inc is 1144475864. It was assigned to this organization in the NPPES registry on November 21, 2008.

Where is Tim Mcnicoll MD Inc located?

Tim Mcnicoll MD Inc is located at 2876 Sycamore Dr Suite 101, Simi Valley, CA 93065. The listed phone number is (805) 527-6424.

What is Tim Mcnicoll MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tim Mcnicoll MD Inc enrolled in Medicare?

Yes. Tim Mcnicoll MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tim Mcnicoll MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hospitalist) reassigns their Medicare billing to Tim Mcnicoll MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tim Mcnicoll MD Inc was last updated on February 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.