Timothy Tillo, D.P.M.
NPI 1154385029 · Podiatrist · Jacksonville, FL
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Tillo, D.P.M. is a Podiatrist provider in Jacksonville, FL (NPI 1154385029).
Provider details
- NPI number
- 1154385029
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- PO1862 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2013-04-19
Frequently asked questions
- What is Timothy Tillo's NPI number?
- Timothy Tillo's National Provider Identifier (NPI) is 1154385029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Tillo's specialty?
- Timothy Tillo is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Timothy Tillo located?
- Timothy Tillo's practice location on file with NPPES is 12276 San Jose Blvd, Jacksonville, FL 32223-8672.
- What is Timothy Tillo's phone number?
- The practice phone number listed in the NPPES registry for Timothy Tillo is (904) 224-2001.
- Does Timothy Tillo accept Medicare?
- Timothy Tillo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Tillo's NPI active?
- Yes — Timothy Tillo's NPI (1154385029) is active in the NPPES registry as of the last update on 2013-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.