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DR. MARY ROZ TIMBANG M.D.
NPI 1760877922
Otolaryngology - Pediatric Otolaryngology in Little Rock, AR

Active since April 03, 2015PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2022, Jul 13, 2021 (2 updates tracked since 2021).

About Dr. Mary Roz Timbang M.d. NPPES

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

DR. MARY ROZ TIMBANG M.D. (NPI 1760877922) is an individual pediatric otolaryngology provider in Little Rock, Arkansas, licensed in Arkansas (E-14382) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1760877922
Entity TypeIndividualFemale
Primary Taxonomy207YP0228X
Provider Legal NameDR. MARY ROZ TIMBANGCredential: M.D.
Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500
Mailing AddressPo Box 251418Little Rock, AR 72225-1418 · (501) 364-1100
Phone(501) 364-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 3, 2015
Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
✔ NPI 1760877922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in AR · E-14382
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License E-14382 (AR)
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License E-14382 (AR)
1 CHILDRENS WAY # 653, Little Rock, AR 72202
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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

Dr. Mary Roz Timbang M.d. 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 ID4486079761
PECOS Enrollment IDI20260114003247
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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Roz Timbang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Los Angeles Medical Group, Inc.
1,485 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ADRIENNE MARIE KODER
Orthopaedic Surgery
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
STEPHEN JAMES CANON M.D.
Urology (Pediatric Urology)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
HEATHER LYNN YOUNG MD
Pediatrics (Pediatric Infectious Diseases)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MRS. GLENDA MARIE ECKERT APN
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
AMBRE' LACHELLE POWNALL APN, PNP-BC
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
ANITA JEAN BUELL-SANDERS
Nurse Practitioner (Acute Care)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3620
VIKAS CHOWDHARY M.D.
Pediatrics
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MRS. JOY ANGELA CHILDRESS APN
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Mary Roz Timbang's NPI number?

The NPI number for Mary Roz Timbang is 1760877922. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Mary Roz Timbang located?

Mary Roz Timbang practices at 1 Childrens Way # 653, Little Rock, AR 72202. The listed phone number is (501) 364-1100.

What is Mary Roz Timbang's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Mary Roz Timbang enrolled in Medicare?

Yes. Mary Roz Timbang 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 organization bills Medicare for Mary Roz Timbang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Roz Timbang reassigns Medicare benefits to Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). The 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 Mary Roz Timbang'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 Mary Roz Timbang was last updated on March 4, 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.