Timothy Michael Bert, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Phoenix, AZ
NPI 1346465010 · NPPES record last updated Aug 2, 2018
Key facts
- NPI
- 1346465010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 47960 (AZ)
- Practice address
- 6950 E Chauncey LN
Phoenix, AZ 85054 - Phone
- (623) 873-8565
- Fax
- (480) 372-2110
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- VHS Outpatient Clinics Inc
Practice addresses (Care Compare)
13677 W McDowell Rd
Suite 201
Goodyear, AZ 85395-2635
Phone (623) 536-4200
2122 E Highland Ave
Suite 100
Phoenix, AZ 85016-4740
Phone (480) 372-2111
3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 274-6506
5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039
750 N 40TH St
Phoenix, AZ 85008-6486
Phone (602) 797-7700
Hospital & facility affiliations
- Abrazo Scottsdale Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 30 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 19 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130924000745 | AZ | Practitioner - Orthopedic Surgery | 4385888791 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47960 | AZ | MD | Orthopaedic Surgery Physician |
| 61995 | MN | MD | Orthopaedic Surgery Physician |
| A120409 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Outpatient Clinics, Inc. | Current |
Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Family Medicine | Current |
Accepting new patients |
Locations
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000
2122 E Highland Ave
Ste 100
Phoenix, AZ 85016
Phone (480) 372-2111
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
6950 E Chauncey Ln
Phoenix, AZ 85054
Phone (480) 538-3200
3811 E Bell Rd
Ste 309
Phoenix, AZ 85032
Phone (480) 420-0749
6950 E Chauncey Ln
Ste 100
Phoenix, AZ 85054
Phone (480) 538-3200
8630 E Via de Ventura
Ste 201
Scottsdale, AZ 85258
Phone (214) 556-3227
Interoperability endpoints
- timothy.bert.1@600.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 61995 | MN | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A120409 | CA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 61995 | MN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician | 207X00000X | 47960 | AZ | Yes |
Addresses
Primary practice location
6950 E Chauncey LN
Phoenix, AZ 85054
Mailing address
6950 E Chauncey LN
Phoenix, AZ 85054-5178
Phone (623) 873-8565
Other providers in Phoenix, AZ
- Ryan Paul Berryman
- Tyler Berschel
- Benjamin Mark Berschler
- Bert, PLLC
- Tiffany C Bert
- Deanna E. Bertani
- Jack Lee Bertch
- Leigh Taylor Bertie
- Chelsea Aubree Bertolino
- Robin M Bertozzi
All providers in Phoenix, AZ · Orthopaedic Surgery Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.