TIMOTHY YAZZIE DO
NPI 1639218662
Family Medicine in Provo, UT
About Timothy Yazzie Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY YAZZIE DO (NPI 1639218662) is an individual family medicine provider in Provo, Utah, licensed in Utah (331777-1204) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Yazzie Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show Timothy Yazzie reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Provo, UT 84604
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Price, UT 84501
- Reassigned Medicare billing, Utah enrollment
- 36 clinicians in this Medicare group
Tonalea, AZ 86044
- Reassigned Medicare billing, Texas enrollment
- 215 clinicians in this Medicare group
Forest City, IA 50436
- Reassigned Medicare billing, Iowa enrollment
- 420 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Yazzie's NPI number?
The NPI number for Timothy Yazzie is 1639218662. It was assigned to this individual provider in the NPPES registry on February 6, 2007.
Where is Timothy Yazzie located?
Timothy Yazzie practices at 1134 N 500 W Suite 102, Provo, UT 84604. The listed phone number is (801) 357-1770.
What is Timothy Yazzie's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Timothy Yazzie enrolled in Medicare?
Yes. Timothy Yazzie 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.
Which organizations bill Medicare for Timothy Yazzie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Yazzie reassigns Medicare benefits to 4 organizations: Ihc Health Services Inc (Provo, UT), West Emergency Services, LLC (Price, UT), Kayenta Alternative Rural Hospital (Tonalea, AZ) and North Iowa Mercy Clinics (Forest City, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Yazzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Yazzie was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Timothy Yazzie, DO · NPI 1639218662
Family Medicine physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since February 6, 2007.
## Identity
- **NPI:** 1639218662 (Entity type: Individual)
- **Enumerated:** February 6, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 331777-1204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1134 N 500 W, SUITE 102, Provo, UT 84604-3383
- **Phone:** (801) 357-1770
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1659672459, Provo, UT); West Emergency Services, LLC (NPI 1548929565, Price, UT); Kayenta Alternative Rural Hospital (NPI 1740359108, Tonalea, AZ); North Iowa Mercy Clinics (NPI 1811003015, Forest City, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2004
## Record status
- **NPPES last updated:** June 27, 2022
- **Other identifiers:** Medicaid 04452755 (NM); Medicaid 253562 (AZ); Medicaid 33732361 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1639218662) · Data from the CMS NPPES public registry.