Timothy Kaminsky, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD449739 Issued in PA

Practice address

1824 Good Hope Rd
Suite 201
Enola, PA 17025-1233

Phone

(717) 791-2680

Fax

(717) 791-2686

NPI assigned

Jun 6, 2011

Last updated

Mar 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tkaminsky@jdcpediatrics.medentdirect.com

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.

• JDC Pediatrics

  • Pediatrics Physician
  • Enola, PA
  • NPI 1689637126
  NPD
• Pediatric Acute Care Services

  • Pediatrics Physician
  • Mechanicsburg, PA
  • NPI 1982667424
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1467746669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 GOOD HOPE RD",
            "address_2": "SUITE 201",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-791-2680",
            "fax_number": "717-791-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 GOOD HOPE RD",
            "address_2": "SUITE 201",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-791-2680",
            "fax_number": "717-791-2686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 W Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170117718",
            "country_code": "US",
            "telephone_number": "717-791-2680",
            "fax_number": "717-791-2686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMINSKY",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD449739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029032280001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Isham, PT
• JDC Pediatrics
• Lauryn Elese Jones, PA-C
• Ernest Michael Josef, MD
• Sarah Marie Kaltreider, LMT, PTA
• Kareem's Mission Autism Clinic LLC
• Abhaas Kattel
• Richard Keene, CRNP
• Pamela J Keller, CRNP
• Keystone Hearing Center

• Pediatrics Physician in Enola, PA
• Providers in Enola, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.

Verify at the official NPI Registry.