NPIMap

Individual provider Active NPI

John Vincent Timko, M.D.

  • Psychiatry Physician
  • Wyomissing, PA
National Provider Identifier
1700992948
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD050742L Issued in PA
Practice address
2201 Ridgewood Rd
Suite 400
Wyomissing, PA 19610-1189
Phone
(610) 378-9601
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD050742L PA
Medical Specialty Clinic/Center 261QM2500X
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X
Psychiatric Hospital 283Q00000X MD050742-L PA
Assisted Living Facility 310400000X
Assisted Living Facility (Mental Illness) 3104A0625X
Skilled Nursing Facility 314000000X
Psychiatry Physician 2084P0800X MD050742L PA Primary

Addresses

Primary practice location

2201 Ridgewood Rd
Suite 400
Wyomissing, PA 19610-1189

Mailing address

2201 Ridgewood Rd
Suite 400
Wyomissing, PA 19610-1189
Phone (610) 378-9601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050418000325 PA Practitioner - Psychiatry 0244278638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serendipity Psychiatric PLLCGroup PAC ID 2163925330, 2 clinicians

Practice addresses (Care Compare)

12 Commerce Dr
Suite B
Wyomissing, PA 19610-3349
Phone (484) 509-1177

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.33 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
77.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD050742LPAMDPsychiatry Physician
MD050742-LPAMDPsychiatric Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Psychiatric PLLC CurrentSince Jul 24, 2025 Accepting new patients

Locations

12 Commerce Dr
Ste B
Wyomissing, PA 19610
Phone (484) 509-1177

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.

Hospital & facility affiliations 8

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1700992948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD",
            "address_2": "SUITE 400",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101189",
            "telephone_number": "610-378-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD",
            "address_2": "SUITE 400",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101189",
            "telephone_number": "610-378-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMKO",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD050742L",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PA",
            "license": "MD050742-L",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD050742L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.