DR. MARY ROZ TIMBANG (M.D.) – Pediatric Otolaryngology Physician, NPI 1760877922

DR. MARY ROZ TIMBANG (M.D.) is a healthcare provider. based in Sacramento, California. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. E-14382 (AR). The NPI Number for DR. MARY ROZ TIMBANG (M.D.) is 1760877922

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY ROZ TIMBANG (M.D.)
NPI
1760877922
Phone
(916) 734-5005
Address
2521 STOCKTON BLVD STE 7200
Enumeration Date
3 April 2015
Last Update Date
4 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3233618408
Graduation Year
2015 (11 years ago)
PAC ID
4486079761
Group Practice PAC ID
0143126920
Professional Enrollment ID
I20260114003247
Address ID
CA900276062LO4650XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,359 OTOLARYNGOLOGY in CA

Provider Addresses for DR. MARY ROZ TIMBANG (M.D.)

  • 2521 STOCKTON BLVD STE 7200

    SACRAMENTO, CA 958172207

    Phone: (916) 734-5005

    Type: Mailing

  • PO BOX 251418

    LITTLE ROCK, AR 722251418

    Phone: (501) 364-1100

    Type: Mailing

  • 1 CHILDRENS WAY # 653

    LITTLE ROCK, AR 722023500

    Phone: (501) 364-1100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $390.

Total Amount is formed as General ($390) + Research ($0) + Ownership ($0) = $390.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Integra LifeSciences Corporation ($151).

Total Amount

$390

General + Research + Ownership

Payments

5

Total payment records

General Amount

$390

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2026-01-14

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260114003247IOtolaryngologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 95817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143126920View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YCA
-CO
-UT
N E P H R O L O G YCA
U R O L O G YCA
Pulmonary DiseaseCA
Pediatric Medicine, OphthalmologyCA
-CA
Cardiovascular Disease (Cardiology)CA
N E U R O L O G YCA

Reviews

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Frequently asked questions

Where can patients find DR. MARY ROZ TIMBANG (M.D.)'s NPI?
You can confirm DR. MARY ROZ TIMBANG (M.D.) with NPI 1760877922; it appears in the national provider directory.
Is DR. MARY ROZ TIMBANG (M.D.) currently active in the NPI registry?
CMS-published data lists DR. MARY ROZ TIMBANG (M.D.) as an active registrant.
What field does DR. MARY ROZ TIMBANG (M.D.) work in?
You can think of DR. MARY ROZ TIMBANG (M.D.) as practicing within Pediatric Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MARY ROZ TIMBANG (M.D.)?
We surface Sacramento, California for DR. MARY ROZ TIMBANG (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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