Organization Active NPI

TLB II, P.C.

Doing business as Cape Cod Medical Center

  • Internal Medicine Physician
  • South Dennis, MA
National Provider Identifier
1376655647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TLB II, P.C.
Doing business as
Cape Cod Medical Center
Practice address
65 Route 134
South Dennis, MA 02660-3762
Phone
(508) 394-7113
Fax
(508) 394-5470
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy L BiliourisNPI 1902858525
Title
President
Phone
(508) 394-7113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

65 Route 134
South Dennis, MA 02660-3762

Mailing address

65 Route 134
South Dennis, MA 02660-3762
Phone (508) 394-7113

Other identifiers 1

IdentifierTypeStateIssuer
9786562MedicaidMA

Other names 1

  • Cape Cod Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130411000014 MA Part B Supplier - Clinic/Group Practice 9032355334 Receives reassigned benefits from 1 practitioner
Practice locations: South Dennis, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376655647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ROUTE 134",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026603762",
            "telephone_number": "508-394-7113",
            "fax_number": "508-394-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ROUTE 134",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026603762",
            "telephone_number": "508-394-7113",
            "fax_number": "508-394-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLB II, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BILIOURIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-394-7113",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9786562",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Cod Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Dennis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.