NPIMap

Individual provider Active NPI

Timo Niilo Dygert, M.D.

  • Cardiovascular Disease Physician
  • Medford, OR
National Provider Identifier
1598971038
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD28409 Issued in OR
Practice address
520 Medical Center Drive
Medford, OR 97504-4314
Phone
(541) 930-7222
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD28409 OR Primary
Internal Medicine Physician 207R00000X MD28409 OR

Addresses

Primary practice location

520 Medical Center Drive
Medford, OR 97504-4314

Mailing address

520 Medical Center Drive
Medford, OR 97504-4314
Phone (541) 930-7222

Other identifiers 1

IdentifierTypeStateIssuer
218702MedicaidOR

Other names 1

  • Dr. Timothy Niilo Dygert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000877 OR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6305919358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
AsanteGroup PAC ID 0547177321, 141 clinicians
Asante Three Rivers Medical Center LLCGroup PAC ID 9931197993, 98 clinicians
Southern Oregon Cardiology LLCGroup PAC ID 2264572510, 28 clinicians

Practice addresses (Care Compare)

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000

520 Medical Ctr Dr
Suite 200
Medford, OR 97504-4314
Phone (541) 930-7222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asante CurrentSince Aug 1, 2016 Accepting new patients
Asante Ashland Community Hospital, LLC CurrentSince May 1, 2018 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Aug 1, 2016 Accepting new patients
Southern Oregon Cardiology LLC Cardiovascular Disease CurrentSince Jun 1, 2016 Accepting new patients
Asante CurrentSince Aug 1, 2016 Accepting new patients

Locations

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

500 5th St
Brookings, OR 97415
Phone (541) 412-2000

520 SW Ramsey Ave
Ste 204
Grants Pass, OR 97527
Phone (541) 479-8308

520 Medical Center Dr
Ste 200
Medford, OR 97504
Phone (541) 282-6600

520 Medical Center Dr
Medford, OR 97504
Phone (541) 789-4164

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1598971038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL CENTER DRIVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044314",
            "telephone_number": "541-930-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL CENTER DRIVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044314",
            "telephone_number": "541-930-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYGERT",
        "first_name": "TIMO",
        "middle_name": "NIILO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD28409",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD28409",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218702",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "DYGERT",
            "middle_name": "NIILO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.