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

Timothy William Overton, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134626070

Timothy William Overton, MD is a Family Practice in Santa Rosa, New Mexico. Qualified in 2018, 8 years ago. Practices with Sunrise Clinics, a 31-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
8
Licensed in
NM
In the registry since
2018
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 →

Practice location Address checks out

117 Camino De Vida Ste 300
Santa Rosa, NM 88435-2267
Phone: (575) 472-4311
Fax: (877) 651-0289
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD2021-0264 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1134626070
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2018
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sunrise Clinics — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Santa Rosa