Active NPI
Timothy Bilash, M.D., M.S.
- Obstetrics & Gynecology Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C1-0004423
- Practice address
- 9834 Genesee Ave
Suite 400
La Jolla, CA 92037-1223 - Phone
- (858) 481-0600
- Fax
- (866) 336-5620
- NPI assigned
- Jul 4, 2006
- Last updated
- Oct 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-088375 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | C1-0004423 | DE | Primary |
Addresses
Primary practice location
9834 Genesee Ave
Suite 400
La Jolla, CA 92037-1223
Mailing address
122 15TH Street
Suite 2202
San Diego, CA 92014
Phone (858) 997-0212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036088375 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-088375 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Great Plains Tribal Chairmen's Health Board | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| County of Tulare | Past | Accepting new patients |
Locations
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282
3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500
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.
-
dba Oyate Health Center
- Pharmacy
- Rapid City, SD
- NPI 1376105452
TX
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
dba Pine Ridge IHS Hospital
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
dba LaCreek District Clinic
- Clinic/Center
- Martin, SD
- NPI 1003208257
-
dba Wanblee Health Center
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
-
- Community/Behavioral Health Agency
- Porterville, CA
- NPI 1518418581
-
dba Bayhealth Physicians
- Colon & Rectal Surgery Physician
- Dover, DE
- NPI 1285809509
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1437189545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 15TH STREET",
"address_2": "SUITE 2202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92014",
"telephone_number": "858-997-0212",
"fax_number": "866-336-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9834 GENESEE AVE",
"address_2": "SUITE 400",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371223",
"telephone_number": "858-481-0600",
"fax_number": "866-336-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILASH",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036-088375",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DE",
"license": "C1-0004423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036088375",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.