TIM TOMY MD
NPI 1952036964
Pediatrics in Providence, RI

Q: 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.

Q: What is Tim Tomy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: 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 13 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 July 22, 2022PECOS EnrolledAccepts Medicare Assignment

355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0570(401) 444-0427 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Jul 22, 2022 (2 updates tracked since 2022).

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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

NPI1952036964

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameTIM TOMYCredential: MD

Location Address355 PRAIRIE AVEProvidence, RI 02905-1928

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400

Phone(401) 444-0570

Fax(401) 444-0427

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 22, 2022

Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1952036964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in RI · MD20666

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351049386 (MI)

355 PRAIRIE AVE, Providence, RI 02905

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Secondary Practice Location 1

Location 11 Hurley PlzFlint, MI 48503-5902 · Phone (810) 262-9000

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID5597273995

PECOS Enrollment IDI20250806000776

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.

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.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SORAYA S. P. DARWOOD MD

Family Medicine