TIMOTHY M CROMBLEHOLME MD
NPI 1194882175
Surgery - Pediatric Surgery in Aurora, CO

Q: What is Timothy Crombleholme's NPI number?

The NPI number for Timothy Crombleholme is 1194882175. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Q: What is Timothy Crombleholme's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Active since January 02, 2007PECOS Enrolled

12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Timothy M Crombleholme Md NPPES

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

TIMOTHY M CROMBLEHOLME MD (NPI 1194882175) is an individual pediatric surgery provider in Aurora, Colorado, licensed in Colorado (50786) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1194882175

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameTIMOTHY M CROMBLEHOLMECredential: MD

Location Address12605 E 16TH AVEAurora, CO 80045-2545

Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000

Phone(720) 848-0000

Sole ProprietorNo

Enumeration DateJanuary 2, 2007

Last NPPES UpdateNovember 14, 2022

NPPES CertifiedNovember 14, 2022

✔ NPI 1194882175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in CO · 50786✔ Licensed in OH · 35.083881

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

12605 E 16TH AVE, Aurora, CO 80045

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Secondary Practice Location 1

Location 1282 Washington StHartford, CT 06106-3322 · Phone (860) 545-9520

Other Identifiers 1

Medicaid03604764CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy M Crombleholme Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Crombleholme reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Connecticut Children's Specialty Group, Inc.

1,683 mi

Pediatrics

282 WASHINGTON ST
Hartford, CT 06106

Reassigned Medicare billing, Connecticut enrollment
601 clinicians in this Medicare group

NPI 1669448882 (860) 545-9000

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

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.

KEVIN BRADLEY ROTHCHILD MD

Surgery (Trauma Surgery)