Tyler Davis, DO – Anesthesiology Physician

Key facts

NPI: 1013477942
Entity type: Individual (NPI type 1)
Primary specialty: Anesthesiology Physician 207L00000X
License: 05-47804 (KS)
Practice address: 9100 W 74TH St
Shawnee Mission, KS 66204-4004
Phone: (913) 676-2000
NPI assigned: Mar 25, 2019
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Midwest Anesthesia Associates, PA Anesthesiology Physician · Shawnee Mission, KS · NPI 1336192392

Medicare reassignment Care Compare group NPD ANESTHESIOLOGY · KS

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Shawnee Mission Medical Center Inc General Acute Care Hospital · Merriam, KS · NPI 1023171634

Care Compare affiliation Hospital
Shawnee Mission Medical Center Inc Clinical Medical Laboratory · Merriam, KS · NPI 1235792003

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Anesthesiology
Education: Other, 2019
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Midwest Anesthesia Associates, PA (89 clinicians)

Practice addresses (Care Compare)

9100 W 14TH St
Shawnee Mission, KS 66204-4004
Phone (913) 632-2230

Hospital & facility affiliations

Adventhealth Shawnee Mission Hospital · Shawnee Mission, KS · CCN 170104

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KS
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230803000753	KS	Practitioner - Anesthesiology	5991048589	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy

State licenses

License	State	Type	Specialty
05-47804	KS	MD	Anesthesiology Physician

Practice roles

Organization	Specialty	Status	New patients
Midwest Anesthesia Associates, PA	Anesthesiology	Current since Jul 1, 2023	Accepting new patients

Locations

9301 W 74th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 632-9300

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Anesthesiology Physician	207L00000X	05-47804	KS	Yes

Addresses

Primary practice location

9100 W 74TH St
Shawnee Mission, KS 66204-4004

Mailing address

9100 W 74TH St
Shawnee Mission, KS 66204-4004

Other providers in Shawnee Mission, KS

All providers in Shawnee Mission, KS · Anesthesiology Physician in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.