DR. TIMOTHY J GAYOWSKI (MD FACS) – Critical Care Medicine (Internal Medicine) Physician, NPI 1154515765

DR. TIMOTHY J GAYOWSKI (MD FACS) is a healthcare provider. based in Salt lake city, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials MD FACS. They hold a License No. 6668569-8905 (UT). The NPI Number for DR. TIMOTHY J GAYOWSKI (MD FACS) is 1154515765

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY J GAYOWSKI (MD FACS)
NPI
1154515765
Phone
(801) 581-6171
Address
DEPARTMENT OF SURGERY
Enumeration Date
28 August 2007
Last Update Date
7 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015613400
Graduation Year
1990 (36 years ago)
PAC ID
6608880950
Group Practice PAC ID
4789807165
Professional Enrollment ID
I20071018000015
Address ID
UT840940743SA8074X1300300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

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Provider Addresses for DR. TIMOTHY J GAYOWSKI (MD FACS)

  • DEPARTMENT OF SURGERY

    30 NORTH 1900 EAST #3B110 SOM

    SALT LAKE CITY, UT 841320001

    Phone: (801) 581-6171

    Fax: (801) 581-4359

    Type: Mailing

  • 144, 500 East, Salt Lake City, Salt Lake County, Utah, 84102, United States

    SALT LAKE CITY, UT 841021907

    Phone: (775) 222-0043

    Fax: (800) 704-8908

    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: 2007-10-18

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
I20071018000015IFamily PracticeUTTBD

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 84132)

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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: 4789807165View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseGA
-NV
Nurse PractitionerUT
Internal MedicineID
Internal MedicineOR
Family PracticeID
Emergency MedicineCO
Family PracticeUT
-UT
Internal MedicineUT

Reviews

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Frequently asked questions

Can I verify DR. TIMOTHY J GAYOWSKI (MD FACS) with an NPI only?
You can start verification with NPI 1154515765 for DR. TIMOTHY J GAYOWSKI (MD FACS), then check state licensing separately.
Is DR. TIMOTHY J GAYOWSKI (MD FACS) still practicing?
DR. TIMOTHY J GAYOWSKI (MD FACS) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. TIMOTHY J GAYOWSKI (MD FACS)?
For research purposes, treat DR. TIMOTHY J GAYOWSKI (MD FACS) as Critical Care Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. TIMOTHY J GAYOWSKI (MD FACS)?
DR. TIMOTHY J GAYOWSKI (MD FACS)'s geographic hint is Salt Lake City, Utah in our summary view.
Is the information about DR. TIMOTHY J GAYOWSKI (MD FACS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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