TIMOTHY LOUIS GIESEKE (M.D.) – Internal Medicine Physician, NPI 1992703706

TIMOTHY LOUIS GIESEKE (M.D.) is a healthcare provider. based in Santa rosa, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. G34398 (CA). The NPI Number for TIMOTHY LOUIS GIESEKE (M.D.) is 1992703706

Main info

Male
50 Years Of Experience
Name
TIMOTHY LOUIS GIESEKE (M.D.)
NPI
1992703706
Phone
(707) 575-6049
Address
3536 MENDOCINO AVE
Enumeration Date
14 July 2005
Last Update Date
7 February 2012

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
4880604768
Professional Enrollment ID
I20060424000225
Address ID
CA954057452Sa4886XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

21,558 INTERNAL MEDICINE in CA

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Provider Addresses for TIMOTHY LOUIS GIESEKE (M.D.)

  • 3536, Mendocino Avenue, Santa Rosa, Sonoma County, California, 95401, United States

    STE 200

    SANTA ROSA, CA 954033634

    Phone: (707) 575-6049

    Fax: (707) 546-2188

    Mailing address matches the actual address.

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: 2006-04-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060424000225IInternal MedicineCATBD

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 95403)

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Reviews

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Frequently asked questions

Can I use this page to confirm TIMOTHY LOUIS GIESEKE (M.D.)'s NPI?
Yes. TIMOTHY LOUIS GIESEKE (M.D.) is listed with NPI 1992703706 in the public NPI dataset.
Is TIMOTHY LOUIS GIESEKE (M.D.) still practicing?
TIMOTHY LOUIS GIESEKE (M.D.) is currently listed as active in the public NPI registry.
What is TIMOTHY LOUIS GIESEKE (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for TIMOTHY LOUIS GIESEKE (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect TIMOTHY LOUIS GIESEKE (M.D.) on a map?
Expect Santa Rosa, California as a primary anchor for TIMOTHY LOUIS GIESEKE (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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