Timothy John Dickhudt, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME139850 Issued in FL

Practice address

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Phone

(954) 355-4400

Fax

(702) 384-6493

NPI assigned

Apr 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

General SurgeryAlso: Critical Care (Intensivists)

Education

Creighton University School of Medicine, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Delray Trauma Associates, LLCGroup PAC ID 0042457038, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delray Trauma Associates, LLC

  • Surgery Physician
  • Delray Beach, FL
  • NPI 1013166248

  Specialist

  Medicare reassignment Care Compare group NPD
• Trauma and Critical Care Associates, LLC

  • Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1619498946
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation
• North Broward Hospital District

  • General Acute Care Hospital
  • Pompano Beach, FL
  • NPI 1376571323
  Care Compare affiliation
• North Broward Hospital District

  • Emergency Care Clinic/Center
  • Lighthouse Point, FL
  • NPI 1720936792

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1548528342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E COMMERCIAL BLVD STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084202",
            "telephone_number": "954-491-0900",
            "fax_number": "954-491-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-355-4400",
            "fax_number": "702-384-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Sample Rd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "330643502",
            "country_code": "US",
            "telephone_number": "954-941-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKHUDT",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME139850",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "17313",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME139850",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME139850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Juan Diaz, DO
• Maira Diaz
• Tatiana Diaz
• Vanessa Melissa Diaz, DMD
• Vanessa S Dibucci
• Erin Dickinson, APRN, FNP-BC
• Lauren Dickson, MSN, APRN, FNP-BC
• Raina Diedrick, PHYSICIAN ASSISTANT
• Dietella LLC
• Dietitian Karen LLC

• Surgery Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.