NPIMap

Individual provider Active NPI

Diane De Lisi Timms, DO

  • Maternal & Fetal Medicine Physician
  • Danville, PA
National Provider Identifier
1083874069
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
OS021147 Issued in PA
Practice address
100 N Academy Ave
Danville, PA 17822-1438
Phone
(570) 271-6298
Fax
(570) 271-5841
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X OS021147 PA Primary
Maternal & Fetal Medicine Physician 207VM0101X V1909 TX
Obstetrics Physician 207VX0000X 046430 CT
Gynecology Physician 207VG0400X 046430 CT
Maternal & Fetal Medicine Physician 207VM0101X 25MB08158900 NJ

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-1438

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

65 W Jimmie Leeds Rd Fl 3
Pomona, NJ 08240-9102
Phone (609) 404-3830

Other practice location 2

620 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120410000663 NJ Practitioner - Obstetrics/Gynecology 0547310872 Reassigns benefits to 3 organizations
I20210420001329 PA Practitioner - Obstetrics/Gynecology 0547310872 Reassigns benefits to 2 organizations
I20240928000412 TX Practitioner - Obstetrics/Gynecology 0547310872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6541

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 652-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS021147PAMDMaternal & Fetal Medicine Physician
046430CTMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Nov 15, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince May 16, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
Atlanticare Physician Group PA CurrentSince Aug 1, 2017 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Aug 1, 2017 Accepting new patients
Lester E Cox Medical Centers Maternal & Fetal Medicine CurrentSince May 16, 2023 Accepting new patients
Geisinger Clinic CurrentSince Apr 19, 2021 Accepting new patients
Cooper Obstetrical Associates, PC Gynecology CurrentSince Dec 11, 2016 Accepting new patients
Christus Trinity Clinic Texas Gynecology CurrentSince Nov 15, 2024 Accepting new patients
Cooper Perinatology Associates, PC Maternal & Fetal Medicine CurrentSince Feb 22, 2012 Accepting new patients
Geisinger Clinic CurrentSince Apr 19, 2021 Accepting new patients
Geisinger Clinic Past Accepting new patients
University Urogynecology Association, PC Past Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
Ste 222
Camden, NJ 08103
Phone (856) 342-2921

3 Cooper Plz
Rm 221
Camden, NJ 08103
Phone (856) 342-2959

3 Cooper Plz
Rm 301
Camden, NJ 08103
Phone (856) 342-2959

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Fl 3
Pomona, NJ 08240
Phone (609) 404-3830

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

100 N Academy Ave
Danville, PA 17822

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

620 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-1193

Interoperability endpoints

  • Direct secure messaging: dtimms430196@direct.geisinger.edu

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1083874069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178221438",
            "telephone_number": "570-271-6298",
            "fax_number": "570-271-5841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 W Jimmie Leeds Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NJ",
            "postal_code": "082409102",
            "country_code": "US",
            "telephone_number": "609-404-3830",
            "fax_number": "609-404-3836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 S Fleishel Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012041",
            "country_code": "US",
            "telephone_number": "903-606-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMS",
        "first_name": "DIANE",
        "middle_name": "DE LISI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "OS021147",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "V1909",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CT",
            "license": "046430",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CT",
            "license": "046430",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "25MB08158900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.