Individual provider Active NPI

Timothy L Biliouris, MD

  • Internal Medicine Physician
  • S Dennis, MA
National Provider Identifier
1902858525
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
058049 Issued in MA
Practice address
65 Route 134
S Dennis, MA 02660-3762
Phone
(508) 394-7113
Fax
(508) 394-5470
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 058049 MA
Internal Medicine Physician 207R00000X 058049 MA Primary

Addresses

Primary practice location

65 Route 134
S Dennis, MA 02660-3762

Mailing address

65 Route 134
South Dennis, MA 02660
Phone (508) 394-7113

Other identifiers 1

IdentifierTypeStateIssuer
3022579MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20070516000051 MA Practitioner - General Practice 3476650078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Massachusetts Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

860 Route 134
Suite 5And6
South Dennis, MA 02660-2577
Phone (508) 385-4212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058049MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Primary Care LLC Internal Medicine CurrentSince Jul 11, 2025 Accepting new patients
Osterville Health Care PC Internal Medicine Current Accepting new patients
TLB II, P.C. Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients

Locations

65 Route 134
South Dennis, MA 02660
Phone (508) 394-5470

Organizations & group practices 4

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 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1902858525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ROUTE 134",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "02660",
            "telephone_number": "508-394-7113",
            "fax_number": "508-394-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ROUTE 134",
            "city": "S DENNIS",
            "state": "MA",
            "postal_code": "026603762",
            "telephone_number": "508-394-7113",
            "fax_number": "508-394-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILIOURIS",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "058049",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "058049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3022579",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Dennis, MA

Sources for this page

Verify at the official NPI Registry.