Active NPI
Timothy Paul Deutscher, D.O.
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1285966580
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Mar 19, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11015178A
- Practice address
- 3630 Guion Rd
Indianapolis, IN 46222-1616 - Phone
- (317) 920-8439
- NPI assigned
- Feb 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11015178A | IN | Primary |
Addresses
Primary practice location
3630 Guion Rd
Indianapolis, IN 46222-1616
Mailing address
1940 Runaway Bay LN Apt L
Indianapolis, IN 46224-8863
Phone (515) 401-7517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015178A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1285966580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 RUNAWAY BAY LN APT L",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462248863",
"telephone_number": "515-401-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 GUION RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462221616",
"telephone_number": "317-920-8439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUTSCHER",
"first_name": "TIMOTHY",
"middle_name": "PAUL",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-11",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11015178A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.