NPIMap

Individual provider Active NPI

Timothy Harry Troeh, M.D.

  • Internal Medicine Physician
  • Aberdeen, WA
National Provider Identifier
1326046400
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00033501 Issued in WA
Practice address
1921 Sumner Avenue
Aberdeen, WA 98520-1001
Phone
(360) 538-0135
Fax
(360) 533-3475
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00033501 WA Primary

Addresses

Primary practice location

1921 Sumner Avenue
Aberdeen, WA 98520-1001

Mailing address

PO Box 87
Aberdeen, WA 98520-0022
Phone (360) 538-0135

Other identifiers 1

IdentifierTypeStateIssuer
1098359MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000734 WA Practitioner - Internal Medicine 6901845007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grays Harbor Community HospitalGroup PAC ID 3577462365, 91 clinicians

Practice addresses (Care Compare)

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Community Hospital CurrentSince Oct 2, 2012 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince Nov 8, 2023 Accepting new patients
Grays Harbor Community Hospital Internal Medicine CurrentSince Oct 2, 2012 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Avalon Care Center - Aberdeen, LLC Past Accepting new patients
Coastal Internal Medicine, PLLC PastSince Jan 1, 2013 Accepting new patients
Hoquiam Healthcare, Inc. Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

954 Anderson Dr
Ste 104
Aberdeen, WA 98520
Phone (360) 533-6038

1921 Sumner Ave
Aberdeen, WA 98520
Phone (360) 533-6447

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

Organizations & group practices 9

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 6

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1326046400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985200022",
            "telephone_number": "360-538-0135",
            "fax_number": "360-533-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 SUMNER AVENUE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201001",
            "telephone_number": "360-538-0135",
            "fax_number": "360-533-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROEH",
        "first_name": "TIMOTHY",
        "middle_name": "HARRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00033501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1098359",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.