Dylan G Timmermann, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-02754 Issued in KS

Practice address

5120 SW 28TH St
Topeka, KS 66614-2321

Phone

(785) 408-5800

Fax

(785) 730-8700

NPI assigned

Feb 28, 2023

Last updated

Aug 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Memorial Hospital DistrictGroup PAC ID 0345153680, shared by 4 NPIs, 20 clinicians

Ricks Advanced Dermatology and Skin Surgery PAGroup PAC ID 7315241577, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• LMH Hospital, Lawrence, KS, CCN 170137

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: dylant@radss.emadirect.md

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.

• Ricks Advanced Dermatology & Skin Surgery, PA

  • Dermatology Physician
  • Topeka, KS
  • NPI 1346612751
  Medicare reassignment Care Compare group

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

• Lawrence Memorial Hospital

  • General Acute Care Hospital
  • Lawrence, KS
  • NPI 1508883422
  Care Compare affiliation

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693094400000",
    "number": "1235838228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 SW 28TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142321",
            "telephone_number": "785-408-5800",
            "fax_number": "785-730-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 SW 28TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142321",
            "telephone_number": "785-408-5800",
            "fax_number": "785-730-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Corporate Centre Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660471002",
            "country_code": "US",
            "telephone_number": "785-730-8770",
            "fax_number": "785-730-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMERMANN",
        "first_name": "DYLAN",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2023009268",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine A Tilley, PHD, OTR/L, CLT
• Michael Brenden Tilley, MD
• Melissa Lynette Tillman-Bernard, CRNA
• Timberlake Counseling
• Fontaine Timmer
• Tina R Bugg Counseling and Coaching LLC
• Joshua Tingley, RPH
• Anthony Munoz Tinoco Jr., RRT
• Elizabeth Hightower Tipton, LMSW
• Jose Alexander Tituana-Feijoo

• Physician Assistant in Topeka, KS
• Providers in Topeka, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.