Active NPI
Timothy Elliott Nowack, M.D.
- Surgery Physician
- South Miami, FL
National Provider Identifier
1649632738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME149852
- Practice address
- 6200 Sunset Dr Ste 502
South Miami, FL 33143-4830 - Phone
- (305) 271-9777
- Fax
- (786) 533-9450
- NPI assigned
- Mar 28, 2016
- Last updated
- Jun 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Surgery Physician | 208600000X | 008429 | GA | |
| Surgery Physician | 208600000X | ME149852 | FL | Primary |
Addresses
Primary practice location
6200 Sunset Dr Ste 502
South Miami, FL 33143-4830
Mailing address
PO Box 198054
Atlanta, GA 30384-8054
Phone (305) 271-9777
Other practice location 1
8950 N Kendall Dr Ste 601W
Miami, FL 33176-2139
Phone (305) 271-9777
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical College of Georgia School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8950 N Kendall Dr
Suite 601W
Miami, FL 33176-2139
Phone (305) 271-9777
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.99 of 100
- Quality
- 81.94
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME149852 | FL | MD | Surgery Physician |
| 008429 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Physicians LLC | Current | Accepting new patients |
Locations
8950 SW 88th St
Ste 601W
Miami, FL 33176
6200 Sunset Dr
Ste 502
South Miami, FL 33143
Phone (305) 430-6969
6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240
Organizations & group practices 1
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.
-
- Specialist
- Miami, FL
- NPI 1891893343
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
-
- General Acute Care Hospital
- Coral Gables, FL
- NPI 1952351983
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
-
- General Acute Care Hospital
- Miami, FL
- NPI 1417279936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1649632738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198054",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848054",
"telephone_number": "305-271-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SUNSET DR STE 502",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434830",
"telephone_number": "305-271-9777",
"fax_number": "786-533-9450"
}
],
"practiceLocations": [
{
"address_1": "8950 N Kendall Dr Ste 601W",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331762139",
"country_code": "US",
"telephone_number": "305-271-9777",
"fax_number": "786-533-9450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOWACK",
"first_name": "TIMOTHY",
"middle_name": "ELLIOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "008429",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME149852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.