Individual provider Active NPI

Timothy Michael Peklo, MD

  • Family Medicine Physician
  • Greensburg, IN
National Provider Identifier
1811985229
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01048993 Issued in IN
Practice address
720 N Lincoln St
Greensburg, IN 47240-1327
Phone
(812) 663-4331
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01048993A IN
Family Medicine Physician 207Q00000X 01048993 IN Primary

Addresses

Primary practice location

720 N Lincoln St
Greensburg, IN 47240-1327

Mailing address

601 W 2ND St
Bloomington, IN 47403-2317
Phone (812) 353-9515

Other practice location 1

601 W 2nd St
Bloomington, IN 47403-2317
Phone (812) 353-9515

Other practice location 2

PO Box 637159
Cincinnati, OH 45263-2317
Phone (888) 952-6772

Other identifiers 1

IdentifierTypeStateIssuer
200224010MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060113000720 IN Practitioner - Family Practice 7810911005 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048993AINMDEmergency Medicine Physician
01048993INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Jun 1, 2017 Accepting new patients
Indiana Emergency Professionals PC Emergency Medicine CurrentSince Mar 15, 2017 Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Feb 28, 2025 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients
Decatur County Memorial Hospital Current Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

1300 S Jackson St
Frankfort, IN 46041
Phone (765) 656-3000

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

720 N Lincoln St
Ste 100
Greensburg, IN 47240

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500

10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

Interoperability endpoints

  • Direct secure messaging: timothy.peklo@direct.dcmh.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1811985229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032317",
            "telephone_number": "812-353-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401327",
            "telephone_number": "812-663-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032317",
            "country_code": "US",
            "telephone_number": "812-353-9515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 637159",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452632317",
            "country_code": "US",
            "telephone_number": "888-952-6772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEKLO",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01048993A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01048993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200224010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, IN

Sources for this page

Verify at the official NPI Registry.