TIMOTHY R DOOLEY M D PROFESSIONAL CORPORATION
NPI 1679900419
General Practice in San Diego, CA
About Timothy R Dooley M D Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY R DOOLEY M D PROFESSIONAL CORPORATION (NPI 1679900419) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since October 2013. The organization lists Timothy Rupert Dooley, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy R Dooley M D Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Timothy R Dooley M D Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 R Dooley M D Professional Corporation's NPI number?
The NPI number for Timothy R Dooley M D Professional Corporation is 1679900419. It was assigned to this organization in the NPPES registry on October 10, 2013.
Where is Timothy R Dooley M D Professional Corporation located?
Timothy R Dooley M D Professional Corporation is located at 2525 Camino Del Rio S Ste 130, San Diego, CA 92108. The listed phone number is (619) 297-8641.
What is Timothy R Dooley M D Professional Corporation's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Timothy R Dooley M D Professional Corporation enrolled in Medicare?
Yes. Timothy R Dooley M D Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Timothy R Dooley M D Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Timothy R Dooley M D Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Timothy R Dooley M D Professional Corporation was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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 R Dooley M D Professional Corporation · NPI 1679900419
General Practice organization in San Diego, California. Organization record, active in the CMS NPPES registry since October 10, 2013.
## Identity
- **NPI:** 1679900419 (Entity type: Organization)
- **Enumerated:** October 10, 2013
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Timothy Dooley, PHYSICIAN
## Practice location
- **Address:** 2525 CAMINO DEL RIO S STE 130, San Diego, CA 92108-3718
- **Phone:** (619) 297-8641
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679900419) · Data from the CMS NPPES public registry.