Tyler Michael Coupal, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

273481 Issued in MA

Practice address

55 Fruit Street, Yawkey 6E
Musculoskeletal Imaging, Massachusetts General Hospital
Boston, MA 02114

Phone

(617) 726-7717

Fax

(617) 726-5282

NPI assigned

Aug 24, 2017

Reactivated

Jun 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Diagnostic Radiology

Education

McMaster Un, Michael Degroote School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lambert Radiology Medical Group IncGroup PAC ID 8224032271, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
• Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Lambert Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Whittier, CA
  • NPI 1609826684
  Care Compare group

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

• Pih Health Downey Hospital

  • General Acute Care Hospital
  • Downey, CA
  • NPI 1265433551
  Care Compare affiliation
• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  Care Compare affiliation

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1053838623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET, YAWKEY 6E",
            "address_2": "MUSCULOSKELETAL IMAGING, MASSACHUSETTS GENERAL HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-726-7717",
            "fax_number": "617-726-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUPAL",
        "first_name": "TYLER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-24",
        "last_updated": "2019-06-28",
        "deactivation_date": "2018-03-29",
        "reactivation_date": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "273481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Valery Charles Emile Coumans, MD
• Daniel Counihan, MD
• Lauren Margaret Counihan, M.S.CCC-SLP
• Stephanie Liane Counihan
• May Jean Counsilman, M.D.
• Gregory Stephen Couper, MD
• Jonathan Couri, DMD
• Erika Bobbi Courier, MSN, APRN, FNP-C
• Jean Courmoyer-Rodrigue, MD
• Eily Cournoyer, MD

• Diagnostic Radiology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.