TIMEA MAXIM MD
NPI 1477031219
Student in an Organized Health Care Education/Training Program in Rockford, IL

Q: What is Timea Maxim's NPI number?

The NPI number for Timea Maxim is 1477031219. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Q: What is Timea Maxim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Timea Maxim was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 03, 2018PECOS Enrolled

1221 E STATE ST, ROCKFORD, IL 61104(815) 972-1000(815) 972-1091 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Timea Maxim Md NPPES

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

TIMEA MAXIM MD (NPI 1477031219) is an individual student in an organized health care education/training program in Rockford, Illinois, licensed in Illinois (125-072829) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477031219

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTIMEA MAXIMCredential: MD

Location Address1221 E STATE STRockford, IL 61104-2231

Mailing Address1221 E State StRockford, IL 61104-2231 · (815) 972-1000 · Fax (815) 972-1091

Phone(815) 972-1000

Fax(815) 972-1091

Sole ProprietorYes

Enumeration DateAugust 3, 2018

✔ NPI 1477031219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in IL · 125-072829

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1221 E STATE ST, Rockford, IL 61104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timea Maxim 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.

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.

DOLORES APREDA DO

Student in an Organized Health Care Education/Training Program