Active NPI
Tyler Charles Ensley, D.O.
- Emergency Medicine Physician
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS15967
- Practice address
- Cape Coral Hospital
636 Del Prado Blvd
Cape Coral, FL 33990 - Phone
- (239) 424-3513
- Fax
- (239) 424-4039
- NPI assigned
- Jun 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS15967 | FL | Primary |
Addresses
Primary practice location
Cape Coral Hospital
636 Del Prado Blvd
Cape Coral, FL 33990
Mailing address
PO Box 151368
Cape Coral Emergency Physicians, LLC
Cape Coral, FL 33915
Phone (239) 424-3513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Kansas City College of Medicine and Surgery, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Phone (239) 424-3513
Hospital & facility affiliations
- Cape Coral Hospital
- Gulf Coast Medical Center Lee Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10496 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Coral Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Team Physicians of Northern California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients |
Locations
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
Networks
- Freedom Health HMO Network
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1376611962
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1649692716
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1124223581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151368",
"address_2": "CAPE CORAL EMERGENCY PHYSICIANS, LLC",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "33915",
"telephone_number": "239-424-3513",
"fax_number": "239-424-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAPE CORAL HOSPITAL",
"address_2": "636 DEL PRADO BLVD",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "33990",
"telephone_number": "239-424-3513",
"fax_number": "239-424-4039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENSLEY",
"first_name": "TYLER",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-17",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS15967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.