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

Timothy P Kerut, MD

Individual provider Allergy & Immunology Physician · NPI 1932130127

Timothy P Kerut, MD is an Allergy/Immunology in Vicksburg, Mississippi. Graduated from University of Mississippi School of Medicine in 1985, 41 years ago. Practices with Vicksburg Clinic LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
41
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2006
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

2200 Highway 61 N
Vicksburg, MS 39183-8246
Phone: (601) 883-3320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 11047 (MS)

Record details

NPI number1932130127
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020
Mailing address104 McAuley Dr, Vicksburg, MS 39183-2825

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Vicksburg Clinic Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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