TIMOTHY JOHN DICKHUDT (M.D.) – Surgery Physician, NPI 1548528342

TIMOTHY JOHN DICKHUDT (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. ME139850 (FL). The NPI Number for TIMOTHY JOHN DICKHUDT (M.D.) is 1548528342

Main info

Male
14 Years Of Experience
Name
TIMOTHY JOHN DICKHUDT (M.D.)
NPI
1548528342
Phone
(702) 780-2312
Address
3016 W CHARLESTON BLVD STE 205
Enumeration Date
30 April 2012
Last Update Date
22 July 2022

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9549418300
Graduation Year
2012 (14 years ago)
PAC ID
0547516627
Group Practice PAC ID
0042457038
Professional Enrollment ID
I20200612001638
Address ID
FL330643502PO201XXRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:14State licenses:2Digital endpointsOther names

308 GENERAL SURGERY in NV

Provider Addresses for TIMOTHY JOHN DICKHUDT (M.D.)

  • 3016 W CHARLESTON BLVD STE 205

    LAS VEGAS, NV 891021963

    Phone: (702) 780-2312

    Fax: (702) 895-4014

    Type: Mailing

  • 1707 W CHARLESTON BLVD STE 160

    LAS VEGAS, NV 89102

    Phone: (702) 671-5150

    Fax: (702) 384-6493

    Type: Location

  • 2800 E COMMERCIAL BLVD STE 102

    FORT LAUDERDALE, FL 333084202

    Phone: (954) 491-0900

    Fax: (954) 491-1306

    Type: Mailing

  • 201 E Sample Rd

    Deerfield Beach, FL 330643502

    Phone: (954) 941-8300

    Type: Location

  • 1600 S ANDREWS AVE

    FORT LAUDERDALE, FL 333162510

    Phone: (954) 355-4400

    Fax: (702) 384-6493

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $715.

Total Amount is formed as General ($715) + Research ($0) + Ownership ($0) = $715.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Baxter Healthcare ($240).

Total Amount

$715

General + Research + Ownership

Payments

9

Total payment records

General Amount

$715

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2020-06-12

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
I20200612001638IGeneral SurgeryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7862$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7763$0
99291Critical care, first 30-74 minutes7039$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6664$0
99238Hospital discharge day management, 30 minutes or less2121$0
View full utilization report →

Insurance plans in this area (ZIP 89102)

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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: 0042457038View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)FL
General Surgery, Critical Care (Intensivists)FL
General Surgery, Critical Care (Intensivists)FL
General SurgeryFL
-FL
Critical Care (Intensivists), General SurgeryFL

Reviews

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Frequently asked questions

What number should I use to identify TIMOTHY JOHN DICKHUDT (M.D.) for billing?
Administrative and clinical systems typically use NPI 1548528342 for TIMOTHY JOHN DICKHUDT (M.D.).
Is TIMOTHY JOHN DICKHUDT (M.D.)'s NPI status active today?
Active status means TIMOTHY JOHN DICKHUDT (M.D.)'s NPI record is not deactivated in the public file.
What type of care does TIMOTHY JOHN DICKHUDT (M.D.) provide?
TIMOTHY JOHN DICKHUDT (M.D.)'s profile centers on Surgery Physician. Clinical services aligned with this taxonomy classification.
Is TIMOTHY JOHN DICKHUDT (M.D.) tied to Las Vegas, Nevada?
If you are local to Las Vegas, Nevada, TIMOTHY JOHN DICKHUDT (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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