TIMOTHY JOSEPH SMITH (M.D.) – Internal Medicine Physician, NPI 1336567825

TIMOTHY JOSEPH SMITH (M.D.) is a healthcare provider. based in Shenandoah, Iowa. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD2016-0912 (NM). The NPI Number for TIMOTHY JOSEPH SMITH (M.D.) is 1336567825

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY JOSEPH SMITH (M.D.)
NPI
1336567825
Phone
(712) 246-7400
Address
1 JACK FOSTER DR
Enumeration Date
1 April 2014
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7207335260
Graduation Year
2014 (12 years ago)
PAC ID
6406075118
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20240816002110
Address ID
CO801047419CA4404XLNXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:12State licenses:3Digital endpointsOther names

1,354 INTERNAL MEDICINE in IA

Provider Addresses for TIMOTHY JOSEPH SMITH (M.D.)

  • 1 JACK FOSTER DR

    SHENANDOAH, IA 516014586

    Phone: (712) 246-7400

    Fax: (712) 246-7340

    Type: Mailing

  • 2695 ROCKY MOUNTAIN AVE

    LOVELAND, CO 805388702

    Phone: (970) 624-1103

    Type: Mailing

  • 311 STEELE ST

    DENVER, CO 802064479

    Phone: (303) 372-4010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: ABIOMED ($18).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2024-08-16

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
I20240816002110IInternal MedicineCOTBD

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 51601)

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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: 9638208549View full group profile

Reviews

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Frequently asked questions

Where can patients find TIMOTHY JOSEPH SMITH (M.D.)'s NPI?
You can confirm TIMOTHY JOSEPH SMITH (M.D.) with NPI 1336567825; it appears in the national provider directory.
Is TIMOTHY JOSEPH SMITH (M.D.) currently active in the NPI registry?
CMS-published data lists TIMOTHY JOSEPH SMITH (M.D.) as an active registrant.
What does TIMOTHY JOSEPH SMITH (M.D.) treat or focus on?
Patients typically see TIMOTHY JOSEPH SMITH (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does TIMOTHY JOSEPH SMITH (M.D.) practice in Iowa?
You will see Shenandoah, Iowa on file for TIMOTHY JOSEPH SMITH (M.D.) alongside any extra practice locations.
Is TIMOTHY JOSEPH SMITH (M.D.) a real provider?
This page reflects official NPPES data for NPI 1336567825. Always confirm identity and privileges with the practice and licensing boards.

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