Timothy D Light, MD

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

36893 Issued in IA

Practice address

510 E Bloomington St
Iowa City, IA 52245-2803

Phone

(319) 338-9247

Fax

(319) 338-2785

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Surgical Services, PC

  • Surgery Physician
  • Iowa City, IA
  • NPI 1215997739
  Medicare reassignment
• Infectious Disease Physicians of Iowa City

  • Medical Specialty Clinic/Center
  • Iowa City, IA
  • NPI 1790069243
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Washington Metropolitan Practice Plan

  • Acute Care Nurse Practitioner
  • Washington, DC
  • NPI 1013989896

  Surgical Critical Care

  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1295726560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E BLOOMINGTON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452803",
            "telephone_number": "319-338-9247",
            "fax_number": "319-338-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E BLOOMINGTON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452803",
            "telephone_number": "319-338-9247",
            "fax_number": "319-338-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "DC",
            "license": "MD33292",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IA",
            "license": "36893",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IA",
            "license": "36893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "27811",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0743179",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill L Liesveld, MD
• Thao Lieu, PHARM.D
• Life Skills, Incorporated
• John Tyler Philip Liggins, M.D.
• Kellyann Light-McGroary, MD
• Patricia Rose Lilienthal, CRNA
• Kathleen Kron Lilli, BSN
• Taehong Lim, MD
• Alexis Daria Lima, MD
• John Douglas Liming, M.D.

• Trauma Surgery Physician in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Trauma Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.