DR. TIMOTHY J DEVITT D.M.D.
NPI 1164475323
Dentist - Oral and Maxillofacial Surgery in Bloomington, IN
About Dr. Timothy J Devitt D.m.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY J DEVITT D.M.D. (NPI 1164475323) is an individual oral and maxillofacial surgery provider in Bloomington, Indiana, licensed in Indiana (12010652A) and active in the NPI registry since May 2006. He has opted out of Medicare through July 1, 2027.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Timothy J Devitt D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2021 through July 1, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMINGTON, IN 47401
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 Devitt's NPI number?
The NPI number for Timothy Devitt is 1164475323. It was assigned to this individual provider in the NPPES registry on May 18, 2006.
Where is Timothy Devitt located?
Timothy Devitt practices at 1116 S College Mall Rd, Bloomington, IN 47401. The listed phone number is (812) 332-2204.
What is Timothy Devitt's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Timothy Devitt enrolled in Medicare?
No. Timothy Devitt has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Timothy Devitt accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 14 other insurers list Timothy Devitt 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 Devitt was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 J Devitt, D.M.D. · NPI 1164475323
Oral and Maxillofacial Surgery provider in Bloomington, Indiana. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1164475323 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 12010652A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1116 S COLLEGE MALL RD, Bloomington, IN 47401-6178
- **Phone:** (812) 332-2204
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** May 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1164475323) · Data from the CMS NPPES public registry.