NPIMap

Individual provider Active NPI

Tyler Reed Phillips, MD

  • Pain Medicine Physician
  • Norman, OK
National Provider Identifier
1164910592
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
33843 Issued in OK
Practice address
3110 N Interstate Dr Ste 120
Norman, OK 73072-7206
Phone
(405) 759-8407
Fax
(405) 724-6482
NPI assigned
May 1, 2018
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33843 OK
Pain Medicine Physician 208VP0000X 33843 OK Primary

Addresses

Primary practice location

3110 N Interstate Dr Ste 120
Norman, OK 73072-7206

Mailing address

3110 N Interstate Dr Ste 120
Norman, OK 73072-7206
Phone (405) 759-8407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923002343 OK Practitioner - Family Practice 0840546511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JWS Medical PLLCGroup PAC ID 5991196933, 4 clinicians

Practice addresses (Care Compare)

3411 W Rock Creek Rd
Suite 120
Norman, OK 73072-2466
Phone (405) 759-8407

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JWS Medical, PLLC Pain Medicine CurrentSince Jan 23, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Terrell R Phillips DO Inc PastSince Jun 7, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3110 N Interstate Dr
Ste 120
Norman, OK 73072
Phone (405) 759-8407

3411 W Rock Creek Rd
Ste 120
Norman, OK 73072
Phone (405) 605-4140

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGEHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGEHCD/Endpoint/IGEHCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1164910592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 N INTERSTATE DR STE 120",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730727206",
            "telephone_number": "405-759-8407",
            "fax_number": "405-724-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 N INTERSTATE DR STE 120",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730727206",
            "telephone_number": "405-759-8407",
            "fax_number": "405-724-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TYLER",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "33843",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OK",
            "license": "33843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.