TIMOTHY D. GROTH MD PC
NPI 1720022015
Clinic/Center - Multi-Specialty in Smithtown, NY
About Timothy D. Groth Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY D. GROTH MD PC (NPI 1720022015) is a healthcare organization registered as a multi-specialty in Smithtown, New York and active in the NPI registry since June 2006. The organization lists Timothy D Groth, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
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 D. Groth Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
47Medicare enrollment records show 47 clinicians reassign Medicare billing to Timothy D. Groth MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 47Source: 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 D. Groth MD PC's NPI number?
The NPI number for Timothy D. Groth MD PC is 1720022015. It was assigned to this organization in the NPPES registry on June 16, 2006.
Where is Timothy D. Groth MD PC located?
Timothy D. Groth MD PC is located at 994 W Jericho Tpke Suite104, Smithtown, NY 11787. The listed phone number is (631) 543-1440.
What is Timothy D. Groth MD PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Timothy D. Groth MD PC enrolled in Medicare?
Yes. Timothy D. Groth MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Timothy D. Groth MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 13 Medicare specialties reassign their Medicare billing to Timothy D. Groth MD PC. 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. The largest specialties are Chiropractic (12), Nurse Practitioner (12) and Physical Medicine and Rehabilitation (5). Of these, 2 practice at this address and 31 within 10 miles. 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 D. Groth MD PC was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 D. Groth Md Pc · NPI 1720022015
Multi-Specialty organization in Smithtown, New York. Organization record, active in the CMS NPPES registry since June 16, 2006.
## Identity
- **NPI:** 1720022015 (Entity type: Organization)
- **Enumerated:** June 16, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Timothy Groth, PHYSICIAN
## Practice location
- **Address:** 994 W JERICHO TPKE, SUITE104, Smithtown, NY 11787-3235
- **Phone:** (631) 543-1440 · **Fax:** (631) 543-1930
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 47 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (12), Nurse Practitioner (12), Physical Medicine and Rehabilitation (5); 2 practice at this address and 31 within 10 miles; [full list](https://npiprofile.com/npi/1720022015/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 9, 2020
- **Other identifiers:** Medicaid 01491318 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1720022015) · Data from the CMS NPPES public registry.