TIM TOMY MD
NPI 1952036964
Pediatrics in Providence, RI
About Tim Tomy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIM TOMY MD (NPI 1952036964) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (MD20666) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Flint, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Tim Tomy Md 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 Reassignment
Medicare enrollment records show Tim Tomy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Providence, RI 02905
- Reassigned Medicare billing, Rhode Island enrollment
- 112 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02905 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVIDENCE, RI 02905
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 Tim Tomy's NPI number?
The NPI number for Tim Tomy is 1952036964. It was assigned to this individual provider in the NPPES registry on July 22, 2022.
Where is Tim Tomy located?
Tim Tomy practices at 355 Prairie Ave, Providence, RI 02905. The listed phone number is (401) 444-0570.
What is Tim Tomy's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Tim Tomy enrolled in Medicare?
Yes. Tim Tomy 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 Tim Tomy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tim Tomy reassigns Medicare benefits to The Providence Community Health Centers, Inc (Providence, RI). 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 Tim Tomy'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 Tim Tomy was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Tim Tomy, MD · NPI 1952036964
Pediatrics physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since July 22, 2022.
## Identity
- **NPI:** 1952036964 (Entity type: Individual)
- **Enumerated:** July 22, 2022
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD20666 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 355 PRAIRIE AVE, Providence, RI 02905-1928
- **Phone:** (401) 444-0570 · **Fax:** (401) 444-0427
## 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:** The Providence Community Health Centers, Inc (NPI 1053313593, Providence, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1952036964) · Data from the CMS NPPES public registry.