Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Ross Diestelkamp, MD

Individual provider Diagnostic Radiology Physician · NPI 1861998635

Dr. Timothy Ross Diestelkamp, MD is a Diagnostic Radiology in Phoenix, Arizona. Graduated from Cooper Medical School of Rowan University in 2018, 8 years ago. Practices with Sonoran Radiology Ltd, a 465-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Trained at
Cooper Medical School of Rowan University
Licensed in
AZ
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4302 E Whitton Ave
Phoenix, AZ 85018-5944
Phone: (251) 680-6451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 72505 (AZ)

Record details

NPI number1861998635
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCOOPER MEDICAL SCHOOL OF ROWAN UNIVERSITY
Graduated 2018 (8 years in practice)
Group practice Sonoran Radiology Ltd — 465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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