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TIMOTHY STIDHAM MD
NPI 1548460504
Pediatrics - Pediatric Critical Care Medicine in Aurora, CO

Active since July 18, 2007PECOS Enrolled
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2024, Jun 29, 2020, Sep 19, 2019 and 2 more (5 updates tracked since 2017).

About Timothy Stidham Md NPPES

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

TIMOTHY STIDHAM MD (NPI 1548460504) is an individual pediatric critical care medicine provider in Aurora, Colorado, licensed in New Mexico (MD2019-0698) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kalispell, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1548460504
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameTIMOTHY STIDHAMCredential: MD
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Phone(720) 777-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 18, 2007
Last NPPES UpdateMarch 4, 20245 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1548460504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in NM · MD2019-0698✔ Licensed in MT · 59214✔ Licensed in CO · 48502
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 48502 (CO)
13123 E 16TH AVE, Aurora, CO 80045
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Secondary Practice Location 1

Location 1310 Sunnyview LnKalispell, MT 59901-3129 · Phone (406) 751-5310 · Fax (406) 751-3068

Other Identifiers 1

Medicaid43622771CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7911190475
PECOS Enrollment IDI20260312000165
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.

ERIN TERAVEST PA
Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MELISSA KAY FRAZER AA-C
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
RACHEL MARIE RANWEILER
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. KATHRYN LYN PEGAN AU.D.
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Adams County (720) 777-1961
MRS. KRISTEN L HOLDER FNP-C, APRN-BC
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. JILL M MARKS RN, APN
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. WENDELYN M BARRETT NNP
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. TIMOTHY OWEN VANDERKOOY MD
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045
Adams County (720) 777-1234

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 Stidham's NPI number?

The NPI number for Timothy Stidham is 1548460504. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Timothy Stidham located?

Timothy Stidham practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Timothy Stidham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Timothy Stidham enrolled in Medicare?

Yes. Timothy Stidham is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Stidham accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and Mountain Health CO-OP list Timothy Stidham 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 Stidham was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.