Individual provider Active NPI

Timothy L. Kerwin, MD

  • Radiation Oncology Physician
  • Naples, FL
National Provider Identifier
1346309085
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME101714 Issued in FL
Practice address
15465 Tamiami TRL N
Naples, FL 34110-6216
Phone
(239) 429-0200
Fax
(239) 421-8209
NPI assigned
Dec 8, 2006
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A91189 CA
Radiation Oncology Physician 2085R0001X ME101714 FL Primary

Addresses

Primary practice location

15465 Tamiami TRL N
Naples, FL 34110-6216

Mailing address

1205 Pocantico LN
Naples, FL 34110-0923
Phone (239) 300-1911

Other practice location 1

955 10th Ave N
Naples, FL 34102-5452
Phone (239) 325-1440

Other practice location 2

8625 Collier Blvd Unit 102
Naples, FL 34114-3636
Phone (239) 429-0100

Other identifiers 8

IdentifierTypeStateIssuer
10T819OtherFLHEALTHY KIDS
319019OtherFLAVMED
P01210193OtherFLRAILROAD MCR
8467004OtherFLCIGNA
9863140OtherFLAETNA
P106298OtherFLFREEDOM HEALTH
000710000MedicaidFL
1003459OtherFLWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081218000110 FL Practitioner - Radiation Oncology 0042302200 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Emory University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocate Radiation Oncology LLCGroup PAC ID 1658613096, 21 clinicians
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

15465 Tamiami TRL N
Naples, FL 34110-6216
Phone (239) 429-0400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91189CAMDRadiation Oncology Physician
ME101714FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Oncology LLC Radiation Oncology CurrentSince Oct 1, 2021 Accepting new patients
Precision Healthcare Specialists, LLC Radiation Oncology CurrentSince Apr 1, 2026 Accepting new patients
Advocate Radiation Oncology, LLC Radiation Oncology CurrentSince Jan 6, 2025 Accepting new patients
Bardmoor Cancer Center LLC Radiation Oncology PastSince Jul 16, 2001 Accepting new patients

Locations

15681 New Hampshire Ct
Fort Myers, FL 33908
Phone (239) 437-1977

1860 Boy Scout Dr
Ste 201
Fort Myers, FL 33907
Phone (239) 274-3269

15465 Tamiami Trl N
Naples, FL 34110
Phone (239) 429-0200

8350 Sierra Meadows Blvd
Fl 1
Naples, FL 34113

8625 Collier Blvd
Unit 102
Naples, FL 34114
Phone (239) 429-0100

3080 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 625-0111

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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 3

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1346309085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 POCANTICO LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100923",
            "telephone_number": "239-300-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15465 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341106216",
            "telephone_number": "239-429-0200",
            "fax_number": "239-421-8209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 10th Ave N",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025452",
            "country_code": "US",
            "telephone_number": "239-325-1440",
            "fax_number": "239-325-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8625 Collier Blvd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341143636",
            "country_code": "US",
            "telephone_number": "239-429-0100",
            "fax_number": "239-421-8209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERWIN",
        "first_name": "TIMOTHY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A91189",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME101714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY KIDS",
            "identifier": "10T819",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "319019",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01210193",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8467004",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9863140",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM HEALTH",
            "identifier": "P106298",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000710000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1003459",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.