DR. TIMOTHY WILLIAM BODNAR (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1275796989
Endocrinology, Diabetes & Metabolism Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. TIMOTHY WILLIAM BODNAR (MD)
5333 McAuley Dr
Reichert Health Building, Suite 5115
Ypsilanti, MI 481971014
Phone: (734) 434-4430
Type: Location
McAuley Drive, Ypsilanti, Washtenaw County, Michigan, 48107, United States
REICHERT HEALTH BUILDING, SUITE 5115
YPSILANTI, MI 481971014
Phone: (734) 434-4430
Type: Location
24 FRANK LLOYD WRIGHT DR
ANN ARBOR, MI 481059484
Phone: (734) 647-5871
Type: Location
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
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: 2014-06-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140610002132 | I | Internal Medicine | MI | 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 48197)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| E N D O C R I N O L O G Y | MI | |
| E N D O C R I N O L O G Y | MI | |
| E N D O C R I N O L O G Y | MI | |
| Endocrinology, Internal Medicine | MI | |
| E N D O C R I N O L O G Y | NY |
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