TIMOTHY JAMES KNITTLE II
NPI 1760113831
General Practice in Jackson, MI

Q: What is Timothy Knittle's NPI number?

The NPI number for Timothy Knittle is 1760113831. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Q: What is Timothy Knittle's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Knittle was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 21, 2022PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Timothy James Knittle Ii NPPES

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

TIMOTHY JAMES KNITTLE II (NPI 1760113831) is an individual general practice provider in Jackson, Michigan, licensed in Michigan (5315248565) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1760113831

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameTIMOTHY JAMES KNITTLE II

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753

Phone(517) 205-4800

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJune 21, 2022

Last NPPES UpdateFebruary 27, 2026

NPPES CertifiedFebruary 27, 2026

✔ NPI 1760113831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 5315248565

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

205 N EAST AVE, Jackson, MI 49201

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy James Knittle Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830633650

PECOS Enrollment IDI20260417001609

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.

Other Providers at the Same Location NPPES 20

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

SAMANTHA RENE DANEK PA-C

Physician Assistant