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

Tim Tomy, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952036964

Tim Tomy, MD is a Pediatric Medicine in Providence, Rhode Island. Qualified in 2022, 4 years ago. Practices with The Providence Community Health Centers Inc, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Rhode Island.

Years since qualifying
4
Licensed in
MI, RI
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

355 Prairie Ave
Providence, RI 02905-1928
Phone: (401) 444-0570
Fax: (401) 444-0427
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Hurley Plz, Flint, MI 48503-5902 — (810) 262-9000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD20666 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4351049386 (MI)

Record details

NPI number1952036964
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2022
Last updated in NPPESJuly 2, 2025
Certification dateJuly 1, 2025
Mailing address375 Allens Ave, Providence, RI 02905-5010

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Providence Community Health Centers Inc. — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence