MR. TIMOTHY WILSON MD NPI 1912005422

NPI Information

  • NPI: 1912005422
  • Provider Name: MR. TIMOTHY WILSON, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2121 SANTA MONICA BLVD
    SANTA MONICA, CA
    ZIP 90404
  • Phone: (310) 582-7137

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NPI Details

MR. Timothy Wilson, MD is an urology in Santa Monica, CA with 46 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MR. Timothy Wilson, MD NPI is 1912005422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1980

The provider's business location address is:

2121 SANTA MONICA BLVD
SANTA MONICA, CA
ZIP 90404-303
Phone: (310) 582-7137
Fax: (310) 582-7140

The NPI 1912005422 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 with moderate level of decision making, if using time, 30 minutes or more (HCPCS:99214)
  • New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more (HCPCS:99205)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Biopsy of prostate gland (HCPCS:55700)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Surgical removal of prostate and surrounding lymph nodes using an endoscope (HCPCS:55866)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Suture suspension of urethra to control leakage using an endoscope (HCPCS:51990)
  • Removal of lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope (HCPCS:38572)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (HCPCS:99213)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (HCPCS:99215)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Simple measurement of pressure of urine flow in bladder (HCPCS:51725)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Hernia repair (minimally invasive) (HCPCS:)
  • Prostate resection (HCPCS:)

The enumeration date for this NPI number is 9/20/2006 and was last updated on 9/14/2021.

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
1208800000XUrologyG57490CALIFORNIAYes

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
100G574900MEDICAIDCALIFORNIA

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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