DR. TIMOTHY JOHN DALTON MD NPI 1912900648

NPI Information

  • NPI: 1912900648
  • Provider Name: DR. TIMOTHY JOHN DALTON, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1995 BETHABARA RD
    WINSTON-SALEM, NC
    ZIP 27106
  • Phone: (336) 759-7596

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NPI Details

DR. Timothy John Dalton, MD is an internal medicine in Winston-salem, NC with 34 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Timothy John Dalton, MD NPI is 1912900648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:1991

The provider's business location address is:

1995 BETHABARA RD
WINSTON-SALEM, NC
ZIP 27106-375
Phone: (336) 759-7596
Fax: (336) 759-3652

The NPI 1912900648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 5/27/2005 and was last updated on 10/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine9500876NORTH CAROLINANo
2207R00000XInternal Medicine95-00876NORTH CAROLINAYes
3208000000XPediatrics95-00876NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12624358OTHERAETNA HMO OPOS
2410250659OTHERCHAMPUS
358523OTHERMEDCOST
4110113235OTHERRAILROAD MEDICARE
55592041OTHERAETNA PPO POS
6287316OTHERMAMSI
70402121OTHERUNITED HEALTHCARE
810526OTHERPARTNERS
98926793MEDICAIDNORTH CAROLINA
1026793OTHERBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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