Active NPI
Cody Timmermann, MD
- Gastroenterology Physician
- Little Rock, AR
National Provider Identifier
1457980237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- E-17369
- Practice address
- 11700 Cantrell Rd
Little Rock, AR 72223-1705 - Phone
- (501) 664-6980
- Fax
- (501) 664-4738
- NPI assigned
- Apr 3, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | E-17369 | AR | Primary |
Addresses
Primary practice location
11700 Cantrell Rd
Little Rock, AR 72223-1705
Mailing address
11700 Cantrell Rd
Little Rock, AR 72223-1705
Phone (501) 664-6980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200617002894 | AR | Order and Referring Only - Internal Medicine | 7214359371 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1457980237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11700 CANTRELL RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722231705",
"telephone_number": "501-664-6980",
"fax_number": "501-664-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 CANTRELL RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722231705",
"telephone_number": "501-664-6980",
"fax_number": "501-664-4738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMERMANN",
"first_name": "CODY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-03",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "E-17369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.