DR. TIMOTHY EVAN RADOMISLI MD
NPI 1619051265
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in New York, NY

Active since October 24, 2006PECOS Enrolled
130 EAST 77TH STREET, 12TH FLOOR, NEW YORK, NY 10021(212) 249-8088(212) 434-4887 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Timothy Evan Radomisli Md NPPES

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

DR. TIMOTHY EVAN RADOMISLI MD (NPI 1619051265) is an individual pediatric orthopaedic surgery provider in New York, New York, licensed in New York (189251) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619051265
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameDR. TIMOTHY EVAN RADOMISLICredential: MD
Location Address130 EAST 77TH STREET, 12TH FLOORNew York, NY 10021
Mailing Address130 East 77th Street, 12th FloorNew York, NY 10021 · (212) 249-8088 · Fax (212) 434-4887
Fax(212) 434-4887
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619051265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License Licensed in NY · 189251
Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

130 EAST 77TH STREET, New York, NY 10021

Other Identifiers 1

Medicare UPINC23788

Medicare Participation & PECOS Enrollment Status

Timothy Radomisli 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), a Home Health Agency (HHA) and Power Mobility Devices.

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: Yes

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

General Acute Care Hospital (Critical Access)
130 EAST 77TH STREET
NEW YORK, NY 10021
Physician Assistant
130 EAST 77TH STREET, 8TH FLOOR
NEW YORK, NY 10021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619051265, enumerated as an "individual" on October 24, 2006.

The provider is located at 130 EAST 77TH STREET 12TH FLOOR NEW YORK, NY 10021 and the phone number is (212) 249-8088.

Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.