Individual provider Active NPI

Timothy Dexter Law, M.D.

  • Colon & Rectal Surgery Physician
  • Roseville, CA
National Provider Identifier
1144632266
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
A143289 Issued in CA
Practice address
8 Medical Plaza Dr Ste 300
Roseville, CA 95661-3107
Phone
(916) 755-7095
Fax
(916) 755-7096
NPI assigned
May 22, 2014
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Colon & Rectal Surgery Physician 208C00000X BP10065939 TX
Colon & Rectal Surgery Physician 208C00000X A143289 CA Primary

Addresses

Primary practice location

8 Medical Plaza Dr Ste 300
Roseville, CA 95661-3107

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice location 1

200 W Arbor Dr
MC 8220
San Diego, CA 92103-9000
Phone (619) 543-6711

Other practice location 2

6550 Fannin St Ste 2307
Houston, TX 77030-2723
Phone (713) 486-4613

Other practice location 3

10 Sierra Gate Plaza
Suite 120
Roseville, CA 95678
Phone (916) 960-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220329001224 CA Practitioner - Colorectal Surgery (Proctology) 4981996642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Yale University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

2 Medical Plaza Dr
Roseville, CA 95661-3042

2575 E Bidwell St
Suite 100
Folsom, CA 95630-6445
Phone (916) 817-3710

2800 L St
Sacramento, CA 95816-5616

8 Medical Plaza Dr
Roseville, CA 95661-3106
Phone (916) 782-5106

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143289CAMDColon & Rectal Surgery Physician
BP10065939TXMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacramento Colon & Rectal Surgery Medical Group, Inc. CurrentSince Mar 15, 2022 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jul 8, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jul 8, 2024 Accepting new patients
Sutter Regional Medical Foundation Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

8 Medical Plaza Dr
Ste 300
Roseville, CA 95661
Phone (916) 782-5106

1020 29th St
Ste 350
Sacramento, CA 95816
Phone (916) 231-1050

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Interoperability endpoints

  • Direct secure messaging: tlaw617191@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1144632266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PLAZA DR STE 300",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613107",
            "telephone_number": "916-755-7095",
            "fax_number": "916-755-7096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_2": "MC 8220",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "619-543-6711",
            "fax_number": "619-543-5869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6550 Fannin St Ste 2307",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302723",
            "country_code": "US",
            "telephone_number": "713-486-4613",
            "fax_number": "713-795-5737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Sierra Gate Plaza",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "95678",
            "country_code": "US",
            "telephone_number": "916-960-0466",
            "fax_number": "916-960-0468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAW",
        "first_name": "TIMOTHY",
        "middle_name": "DEXTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "BP10065939",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A143289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.