TIMOTHY GEORGE DUTRA DPM
NPI 1588650162
Orthopaedic Surgery - Foot and Ankle Surgery in San Leandro, CA
NPI Status: Active since September 20, 2005
Contact Information
13847 E 14TH ST
#110A
SAN LEANDRO, CA
ZIP 94578
Phone: (510) 351-7122
Fax: (510) 351-1797
NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Individual
- Male
- Orthopaedic Surgery
- Foot and Ankle Surgery
- PECOS Enrolled
About TIMOTHY DUTRA
This page provides the complete NPI Profile along with additional information for Timothy Dutra, a provider established in San Leandro, California with a medical specialization in Orthopaedic Surgery, focusing in foot and ankle surgery . The healthcare provider is registered in the NPI registry with number 1588650162 assigned on September 2005. The practitioner's primary taxonomy code is 207XX0004X with license number E33830 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1588650162
- Provider Name
- TIMOTHY GEORGE DUTRA DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 13847 E 14TH ST #110A SAN LEANDRO, CA 94578
- Location Phone
- (510) 351-7122
- Location Fax
- (510) 351-1797
- Mailing Address
- 13847 E 14TH ST #110A SAN LEANDRO, CA 94578
- Mailing Phone
- (510) 351-7122
- Mailing Fax
- (510) 351-1797
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-20-2005
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Foot and Ankle Surgery
- Taxonomy Code
- 207XX0004X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- E33830
- License State
- CA
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| T11665 | MEDICARE UPIN (02) | CA |
Medicare Participation & PECOS Enrollment Status
Timothy Dutra is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588650162, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
SAN LEANDRO, CA 94578
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588650162, enumerated as an "individual" on September 20, 2005.
The provider is located at 13847 E 14TH ST #110A SAN LEANDRO, CA 94578 and the phone number is (510) 351-7122.
Orthopaedic Surgery with taxonomy code 207XX0004X and a focus in Foot and Ankle Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
