DR. TIMOTHY JOSEPH FAIRBANKS MD
NPI 1407010556
Surgery - Pediatric Surgery in San Diego, CA
About Dr. Timothy Joseph Fairbanks Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY JOSEPH FAIRBANKS MD (NPI 1407010556) is an individual pediatric surgery provider in San Diego, California, licensed in California (A80244) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Timothy Joseph Fairbanks 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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Fairbanks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 562 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.
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Fairbanks's NPI number?
The NPI number for Timothy Fairbanks is 1407010556. It was assigned to this individual provider in the NPPES registry on July 17, 2008.
Where is Timothy Fairbanks located?
Timothy Fairbanks practices at 8010 Frost St Ste 414, San Diego, CA 92123. The listed phone number is (858) 966-7711.
What is Timothy Fairbanks's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Timothy Fairbanks enrolled in Medicare?
Yes. Timothy Fairbanks 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.
Which organization bills Medicare for Timothy Fairbanks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Fairbanks reassigns Medicare benefits to Rady Children's Hospital San Diego (San Diego, CA). 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 Fairbanks'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 Fairbanks was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 Joseph Fairbanks, MD · NPI 1407010556
Pediatric Surgery physician in San Diego, California. Individual provider, active in the CMS NPPES registry since July 17, 2008.
## Identity
- **NPI:** 1407010556 (Entity type: Individual)
- **Enumerated:** July 17, 2008
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** A80244 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8010 FROST ST, STE 414, San Diego, CA 92123-2778
- **Phone:** (858) 966-7711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rady Children's Hospital San Diego (NPI 1669617197, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** December 8, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1407010556) · Data from the CMS NPPES public registry.