Timothy Immonen, D.O.
NPI 1730614793 · Maternal & Fetal Medicine Physician · Fort Worth, TX
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Immonen, D.O. is a Maternal & Fetal Medicine Physician provider in Fort Worth, TX (NPI 1730614793).
Provider details
- NPI number
- 1730614793
- Entity type
- Individual
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 34.015859 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 535 Nw 9th St#220Oklahoma City, OK 73102-1070Phone: (405) 272-8498Fax: (405) 272-8425
Registry dates
- Enumerated
- 2017-04-27
- Last updated
- 2024-04-03
- Certified
- 2024-04-03
Frequently asked questions
- What is Timothy Immonen's NPI number?
- Timothy Immonen's National Provider Identifier (NPI) is 1730614793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Immonen's specialty?
- Timothy Immonen is listed in the NPPES registry with a primary specialty of Maternal & Fetal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy Immonen located?
- Timothy Immonen's practice location on file with NPPES is 1500 S Main St, Fort Worth, TX 76104-4917.
- What is Timothy Immonen's phone number?
- The practice phone number listed in the NPPES registry for Timothy Immonen is (817) 702-1100.
- Does Timothy Immonen accept Medicare?
- Timothy Immonen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Immonen's NPI active?
- Yes — Timothy Immonen's NPI (1730614793) is active in the NPPES registry as of the last update on 2024-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.