Active NPI
Tyler Mancil, DPM
- Foot & Ankle Surgery Podiatrist
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM.200077
- Practice address
- 1150 Robert Blvd Ste 190
Slidell, LA 70458-2064 - Phone
- (985) 649-0002
- Fax
- (985) 649-0034
- NPI assigned
- Oct 12, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM.200077 | LA | Primary |
Addresses
Primary practice location
1150 Robert Blvd Ste 190
Slidell, LA 70458-2064
Mailing address
1150 Robert Blvd Ste 190
Slidell, LA 70458-2064
Phone (985) 649-0002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 646-5970
Hospital & facility affiliations
- Ochsner Medical Center Acute
- Slidell Memorial Hospital
- Ochsner Medical Center-Hancock
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 27 |
| Removal of skin lesions | 23 |
| Removal of nail tissue | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Slidell Memorial Hospital | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Slidell Memorial Hospital | Past | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
1150 Robert Blvd
Ste 190
Slidell, LA 70458
Phone (985) 646-4415
1120 Robert Blvd
Ste 200
Slidell, LA 70458
Phone (985) 646-2223
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
Interoperability endpoints
- mancil.tyler.001.0180017@wdpmsa.meditab.direct-ci.com
Organizations & group practices 5
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Clinic/Center
- Slidell, LA
- NPI 1801020433
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1366912594
-
- Specialist
- Slidell, LA
- NPI 1558301093
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
- General Acute Care Hospital
- Bay Saint Louis, MS
- NPI 1588629968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1154871275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 ROBERT BLVD STE 190",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582064",
"telephone_number": "985-649-0002",
"fax_number": "985-649-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 ROBERT BLVD STE 190",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582064",
"telephone_number": "985-649-0002",
"fax_number": "985-649-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCIL",
"first_name": "TYLER",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-12",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "LA",
"license": "DPM.200077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.