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DR. TIMOTHY SEAN DIESEL DOM, PA-C
NPI 1619056553
Physician Assistant - Medical in Albuquerque, NM

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
1240 PENNSYLVANIA ST NE, ALBUQUERQUE, NM 87110(505) 291-2040 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy Sean Diesel Dom, Pa-c NPPES

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

DR. TIMOTHY SEAN DIESEL DOM, PA-C (NPI 1619056553) is an individual medical provider in Albuquerque, New Mexico, licensed in New Mexico (PA2009-0010) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1619056553
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDR. TIMOTHY SEAN DIESELCredential: DOM, PA-C
Location Address1240 PENNSYLVANIA ST NEAlbuquerque, NM 87110-7441
Mailing Address8100 Constitution Pl NeAlbuquerque, NM 87110-7643 · (505) 291-2040
Phone(505) 291-2040
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 17, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1619056553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NM · PA2009-0010
Also ListedAcupuncturistTaxonomy 171100000X · License 765 (NM)
1240 PENNSYLVANIA ST NE, Albuquerque, NM 87110
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Other Names 1

Professional Name (2)Dr. T Sean Diesel Dom, Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy Sean Diesel Dom, Pa-c 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.

PECOS PAC ID6305999400
PECOS Enrollment IDI20090807000235
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHARON E GRIFFIN PHD
Nutritionist
1240 PENNSYLVANIA ST NE, SUITE C
ALBUQUERQUE, NM 87110
Bernalillo County (505) 254-3535

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 Diesel's NPI number?

The NPI number for Timothy Diesel is 1619056553. It was assigned to this individual provider in the NPPES registry on November 2, 2006. The provider is also known as Dr. T Sean Diesel Dom, Pa-C.

Where is Timothy Diesel located?

Timothy Diesel practices at 1240 Pennsylvania St NE, Albuquerque, NM 87110. The listed phone number is (505) 291-2040.

What is Timothy Diesel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Timothy Diesel enrolled in Medicare?

Yes. Timothy Diesel 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.

When was this NPI record last updated?

The NPPES record for Timothy Diesel was last updated on July 17, 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.