TIMOTHY WALL – Internal Medicine Physician, NPI 1659870939
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,558 INTERNAL MEDICINE in CA
Provider Addresses for TIMOTHY WALL
101 BODIN CIR
TRAVIS AFB, CA 945351809
Phone:
Type: Mailing
2700 Grant St Ste 200
Concord, CA 945202270
Phone: (925) 947-3393
Type: Location
128, East Apple Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States
2ND FLOOR
DAYTON, OH 45409
Phone: (937) 257-9926
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-07-18
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230718001506 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94535)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Internal Medicine | CA | |
| U R O L O G Y | CA | |
| Internal Medicine, Hospitalist | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Hospice/Palliative Care, Internal Medicine | CA |
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