TIMOTHY WILLIAM MENZA (MD, PHD) – Infectious Disease Physician, NPI 1003105891

TIMOTHY WILLIAM MENZA (MD, PHD) is a healthcare provider. based in Portland, Oregon. specializing in INFECTIOUS DISEASE. They hold the professional credentials MD, PHD. They hold a License No. MD61510215 (WA). The NPI Number for TIMOTHY WILLIAM MENZA (MD, PHD) is 1003105891

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY WILLIAM MENZA (MD, PHD)
NPI
1003105891
Phone
(503) 988-3700
Address
619 NW 6TH AVE FL 2
Enumeration Date
31 March 2011
Last Update Date
5 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2067313000
Graduation Year
2011 (15 years ago)
PAC ID
9739327065
Group Practice PAC ID
0446162697
Professional Enrollment ID
I20240306001867
Address ID
WA981042420SE325XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

120 INFECTIOUS DISEASE in OR

Provider Addresses for TIMOTHY WILLIAM MENZA (MD, PHD)

  • 619 NW 6TH AVE FL 2

    PORTLAND, OR 972093964

    Phone: (503) 988-3700

    Type: Location

  • 619 NW 6TH AVE FL 5

    PORTLAND, OR 972093964

    Phone: (503) 988-7468

    Fax: (503) 988-3015

    Type: Mailing

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (206) 520-5700

    Type: Mailing

  • 325 9TH AVE

    SEATTLE, WA 981042420

    Phone: (206) 520-5000

    Type: Location

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-8311

    Type: Location

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: 2024-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200327000321IInternal MedicineORTBD
I20240306001867IInfectious DiseaseWATBD

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 97209)

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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: 0446162697View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm TIMOTHY WILLIAM MENZA (MD, PHD)'s NPI?
Yes. TIMOTHY WILLIAM MENZA (MD, PHD) is listed with NPI 1003105891 in the public NPI dataset.
Is TIMOTHY WILLIAM MENZA (MD, PHD) listed as active for patients and plans?
The listing shows TIMOTHY WILLIAM MENZA (MD, PHD) as active in the NPI system.
What taxonomy line describes TIMOTHY WILLIAM MENZA (MD, PHD)?
For research purposes, treat TIMOTHY WILLIAM MENZA (MD, PHD) as Infectious Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for TIMOTHY WILLIAM MENZA (MD, PHD)?
TIMOTHY WILLIAM MENZA (MD, PHD)'s geographic hint is Portland, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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