Individual provider Active NPI

Terryl Dewayne Times, MD

  • Surgery Physician
  • Williamsburg, VA
National Provider Identifier
1790778611
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101041972 Issued in VA
Practice address
500 Sentara Cir Ste 202
Williamsburg, VA 23188-5727
Phone
(757) 984-9850
Fax
(757) 345-6659
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101041972 VA Primary

Addresses

Primary practice location

500 Sentara Cir Ste 202
Williamsburg, VA 23188-5727

Mailing address

500 Sentara Cir Ste 202
Williamsburg, VA 23188-5727
Phone (757) 984-9850

Other identifiers 1

IdentifierTypeStateIssuer
007366281MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20070511000388 VA Practitioner - General Surgery 3971600768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical Branch at Galveston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

500 Sentara Circle
Suite 202
Williamsburg, VA 23188-5727
Phone (757) 984-9850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)12
Mastectomy46
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Mar 1, 2007 Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

500 Sentara Cir
Ste 202
Williamsburg, VA 23188
Phone (757) 984-9850

120 Kings Way
Ste 2800
Williamsburg, VA 23185
Phone (757) 253-0777

Interoperability endpoints

  • Direct secure messaging: ttimes31640@direct.sentara.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1790778611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SENTARA CIR STE 202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885727",
            "telephone_number": "757-984-9850",
            "fax_number": "757-345-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SENTARA CIR STE 202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885727",
            "telephone_number": "757-984-9850",
            "fax_number": "757-345-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMES",
        "first_name": "TERRYL",
        "middle_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101041972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007366281",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.