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

Timothy William Roedder, DO

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1063874295

Timothy William Roedder, DO is a Pulmonary Disease in Salem, Massachusetts. Qualified in 2016, 10 years ago. Practices with Mass General Brigham Medical Group Northern Massachusetts Inc, a 819-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

55 Highland Ave Ste 104
Salem, MA 01970-2100
Phone: (978) 745-4489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 292649 (MA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 292649 (MA)

Record details

NPI number1063874295
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2016
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022
Mailing address55 Highland Ave Ste 104, Salem, MA 01970-2100

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mass General Brigham Medical Group Northern Massachusetts Inc — 819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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