DR. SHRISHIV TIMBALIA MD
NPI 1629694575
Surgery - Vascular Surgery in Memphis, TN

Q: What is Shrishiv Timbalia's NPI number?

The NPI number for Shrishiv Timbalia is 1629694575. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Q: What is Shrishiv Timbalia's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Shrishiv Timbalia was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 June 17, 2020PECOS EnrolledAccepts Medicare Assignment

1211 UNION AVE STE 300, MEMPHIS, TN 38104(901) 272-6018(901) 201-4203 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2025, Jun 17, 2020 (2 updates tracked since 2020).

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About Dr. Shrishiv Timbalia Md NPPES

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

DR. SHRISHIV TIMBALIA MD (NPI 1629694575) is an individual vascular surgery provider in Memphis, Tennessee, licensed in Tennessee (75027) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Methodist Healthcare - Olive Branch Hospital, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1629694575

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. SHRISHIV TIMBALIACredential: MD

Location Address1211 UNION AVE STE 300Memphis, TN 38104-6655

Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655

Phone(901) 272-6018

Fax(901) 201-4203

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2020

Enumeration DateJune 17, 2020

Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1629694575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in TN · 75027

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1211 UNION AVE STE 300, Memphis, TN 38104

Open in Google Maps ↗

Secondary Practice Location 1

Location 16401 Poplar Ave Ste 540Memphis, TN 38119-4823 · Phone (901) 478-0900 · Fax (901) 201-4203

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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. Shrishiv Timbalia Md 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 ID1052812781

PECOS Enrollment IDI20250903000029

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250167

Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County

Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

JUSTIN HUNTER M.D

Surgery (Vascular Surgery)