DR. TIMOTHY ROSS DIESTELKAMP MD NPI 1861998635

NPI Information

  • NPI: 1861998635
  • Provider Name: DR. TIMOTHY ROSS DIESTELKAMP, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4302 E WHITTON AVE
    PHOENIX, AZ
    ZIP 85018
  • Phone: (251) 680-6451

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NPI Details

DR. Timothy Ross Diestelkamp, MD is a diagnostic radiology radiology in Phoenix, AZ with 8 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Timothy Ross Diestelkamp, MD NPI is 1861998635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COOPER MEDICAL SCHOOL OF ROWAN UNIVERSITY
Graduation Year:2018

The provider's business location address is:

4302 E WHITTON AVE
PHOENIX, AZ
ZIP 85018-944
Phone: (251) 680-6451

The NPI 1861998635 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 enumeration date for this NPI number is 4/2/2018 and was last updated on 4/29/2024.

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
12085R0202XRadiologyDiagnostic Radiology72505ARIZONAYes

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: 11/21/2025

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