TIMOTHY WULFESTIEG DO
NPI 1144757139
Radiology - Diagnostic Radiology in Tripler Amc, HI
About Timothy Wulfestieg Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY WULFESTIEG DO (NPI 1144757139) is an individual diagnostic radiology provider in Tripler Amc, Hawaii, licensed in Hawaii (DOS-1943) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy Wulfestieg Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Timothy Wulfestieg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, ME 04102
- Reassigned Medicare billing, North Carolina enrollment
- 5 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96859 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TRIPLER ARMY MEDICAL CENTER, HI 96859
TRIPLER ARMY MEDICAL CENTER, HI 96859
TRIPLER AMC, HI 96859
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 Wulfestieg's NPI number?
The NPI number for Timothy Wulfestieg is 1144757139. It was assigned to this individual provider in the NPPES registry on May 22, 2017.
Where is Timothy Wulfestieg located?
Timothy Wulfestieg practices at 1 Jarrett White Rd, Tripler Amc, HI 96859. The listed phone number is (888) 683-2778.
What is Timothy Wulfestieg's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Timothy Wulfestieg enrolled in Medicare?
Yes. Timothy Wulfestieg is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Timothy Wulfestieg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Wulfestieg reassigns Medicare benefits to Spectrum Healthcare Partners, PA (Portland, ME). The 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 Wulfestieg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Wulfestieg was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Timothy Wulfestieg, DO · NPI 1144757139
Diagnostic Radiology physician in Tripler Amc, Hawaii. Individual provider, active in the CMS NPPES registry since May 22, 2017.
## Identity
- **NPI:** 1144757139 (Entity type: Individual)
- **Enumerated:** May 22, 2017
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** DOS-1943 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 JARRETT WHITE RD, Tripler Amc, HI 96859-5001
- **Phone:** (888) 683-2778
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spectrum Healthcare Partners, PA (NPI 1669488011, Portland, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2017
## Record status
- **NPPES last updated:** July 31, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1144757139) · Data from the CMS NPPES public registry.