Tyrone David Fillyaw, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

D0055445 Issued in MD

Practice address

5480 Wisconsin Ave Ste 228
Chevy Chase, MD 20815-3521

Phone

(301) 931-7412

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Grace Medical Center, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1104151091

  MD, Psychiatry

  Medicare reassignment NPD
• Paving the Way Multi Service Institute

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1407249378

  DC

  Medicare reassignment
• Zion Family Practice, LLC

  • Family Medicine Physician
  • Washington, DC
  • NPI 1417420621
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• North Baltimore Center, Inc

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1720091044
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1124285093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE STE 228",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153521",
            "telephone_number": "301-931-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE STE 228",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153521",
            "telephone_number": "301-931-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLYAW",
        "first_name": "TYRONE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0055445",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0055445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Femhealth USA, Inc
• Joshua Coverston McLain Ferey
• Melanie D Fernando, OTR
• Debra Lynn Fertig, MD
• Jaymie J. Fields, DNP
• Daniel Finkelstein, MD
• First Class Anesthesia, LLC
• Mary Catherine Fischer, M.D.
• Fisher Dermatology & Aesthetics LLC
• Daisy Virginia Fisher, ANP

• All providers in Chevy Chase, MD
• Child & Adolescent Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.