Individual provider Active NPI

Richard D Tyer, M.D.

  • Neurology Physician
  • Tyler, TX
National Provider Identifier
1043238546
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J6783 Issued in TX
Practice address
312 E 5TH St
Tyler, TX 75701-4225
Phone
(903) 595-6789
Fax
(903) 595-6973
NPI assigned
Jul 17, 2006
Last updated
Nov 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J6783 TX Primary

Addresses

Primary practice location

312 E 5TH St
Tyler, TX 75701-4225

Mailing address

312 E 5TH St
Tyler, TX 75701-4225
Phone (903) 595-6789

Other identifiers 1

IdentifierTypeStateIssuer
1044281MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120614000798 TX Practitioner - Neurology 0143484527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical Branch at Galveston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

312 E 5TH St
Tyler, TX 75701-4225
Phone (903) 595-6789

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J6783TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Tyler, P.a. Neurology CurrentSince Apr 16, 2012 Accepting new patients
Central Texas Neurology Consultants, PA PastSince Aug 5, 1992 Accepting new patients

Locations

312 E 5th St
Tyler, TX 75701
Phone (903) 595-6789

Organizations & group practices 2

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

Hospital & facility affiliations 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1043238546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014225",
            "telephone_number": "903-595-6789",
            "fax_number": "903-595-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014225",
            "telephone_number": "903-595-6789",
            "fax_number": "903-595-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYER",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J6783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044281",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.