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TIMOTHY H IZANT M.D.
NPI 1992761043
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in De Witt, NY

Active since April 25, 2006PECOS Enrolled
5719 WIDEWATERS PKWY, DE WITT, NY 13214(315) 251-3100(315) 449-9923 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Timothy H Izant M.d. NPPES

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

TIMOTHY H IZANT M.D. (NPI 1992761043) is an individual adult reconstructive orthopaedic surgery provider in De Witt, New York, licensed in New York (177226) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992761043
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameTIMOTHY H IZANTCredential: M.D.
Location Address5719 WIDEWATERS PKWYDe Witt, NY 13214-1880
Mailing Address5719 Widewaters PkwySyracuse, NY 13214-1880 · (315) 251-3100 · Fax (315) 449-9923
Phone(315) 251-3100
Fax(315) 449-9923
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateApril 6, 2018
✔ NPI 1992761043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in NY · 177226
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 177226 (NY)
5719 WIDEWATERS PKWY, De Witt, NY 13214
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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 (PECOS)

Timothy H Izant M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Timothy Izant reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Syracuse Orthopedic Specialists, PLLC
Same address
Orthopaedic Surgery
5719 WIDEWATERS PARKWAY
Syracuse, NY 13214
  • Reassigned Medicare billing, New York enrollment
  • 109 clinicians in this Medicare group
NPI 1669410379 (315) 251-3100
Crouse Health Hospital
3.7 mi
Urgent Care
739 IRVING AVE
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 189 clinicians in this Medicare group
NPI 1699829846 (315) 470-7317

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.

JULIE HARTENSTEIN P.T.
Physical Therapist
5719 WIDEWATERS PKWY
DE WITT, NY 13214
Onondaga County (315) 449-1301
MATTHEW D HOOD P.A.
Physician Assistant (Surgical)
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 251-3100
JAMES WAYNE HILL RPAC
Physician Assistant
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 251-3100
DAVID ANTHONY DISTEFANO MD
Orthopaedic Surgery (Sports Medicine)
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 251-3100
MELISSA R BUTLER NP
Nurse Practitioner (Adult Health)
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 251-3100
MR. MATTHEW JOSEPH SWEET MS, ATC
Specialist/Technologist (Athletic Trainer)
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 449-1301
DR. JOHN J CAMBARERI M.D.
Orthopaedic Surgery
5719 WIDEWATERS PKWY
DE WITT, NY 13214
Onondaga County (315) 251-3100
JUNE LEO-RANDAZZO O.T.
Occupational Therapist
5719 WIDEWATERS PKWY
DE WITT, NY 13214
Onondaga County (315) 449-1301

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 Izant's NPI number?

The NPI number for Timothy Izant is 1992761043. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Timothy Izant located?

Timothy Izant practices at 5719 Widewaters Pkwy, De Witt, NY 13214. The listed phone number is (315) 251-3100.

What is Timothy Izant's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Timothy Izant enrolled in Medicare?

Yes. Timothy Izant is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Izant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Izant reassigns Medicare benefits to 2 organizations: Syracuse Orthopedic Specialists, PLLC (Syracuse, NY) and Crouse Health Hospital (Syracuse, NY). Each 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 Timothy Izant'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 Timothy Izant was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.