Individual provider Active NPI

Timothy Bilash, M.D., M.S.

  • Obstetrics & Gynecology Physician
  • La Jolla, CA
National Provider Identifier
1437189545
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C1-0004423 Issued in DE
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036088375MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151124000329 CA Practitioner - Obstetrics/Gynecology 6709838162 Reassigns benefits to 1 organization
Practice locations: El Centro, CA; La Jolla, CA
I20170928003320 TX Practitioner - General PracticePractitioner - Obstetrics/Gynecology 6709838162 Reassigns benefits to 2 organizations
I20200702002287 MD Practitioner - Obstetrics/Gynecology 6709838162 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-088375ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2020 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Oct 21, 2020 Accepting new patients
Great Plains Tribal Chairmen's Health Board CurrentSince Apr 23, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Aug 8, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Aug 8, 2017 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.

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

Verify at the official NPI Registry.