NPIMap

Individual provider Active NPI

Tyrel K Somers, MD

  • Family Medicine Physician
  • Russell, KS
National Provider Identifier
1174879936
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RL12388 Issued in ND
Practice address
222 S Kansas St
Russell, KS 67665-3000
Phone
(785) 483-3333
Fax
(785) 483-0781
NPI assigned
Jul 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RL12388 ND Primary

Addresses

Primary practice location

222 S Kansas St
Russell, KS 67665-3000

Mailing address

513 S Kansas St
Russell, KS 67665-3535
Phone (701) 301-1925

Other identifiers 1

IdentifierTypeStateIssuer
12083MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150904000879 KS Practitioner - Family Practice 7618299744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Central Kansas Association Inc 6 clinicians

Practice addresses (Care Compare)

200 S Main St
Russell, KS 67665-2920
Phone (785) 483-3333

Hospital & facility affiliations

  • Angels Care Home Health of Dodge City Home health agency, Wa Keeney, KS, CCN 178116
  • Good Samaritan Home Health of Central Kansas Home health agency, Hays, KS, CCN 178064
  • Gentiva Hospice, Wichita, KS, CCN 171542
  • Hospice & Palliative Care at Haysmed Hospice, Hays, KS, CCN 171533
  • Russell Regional Hospital Hospital, Russell, KS, CCN 171350
  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012
  • Clara Barton Hospital Hospital, Hoisington, KS, CCN 171333
  • Wheatland Nursing & Rehabilitation Center Nursing home, Russell, KS, CCN 175286
  • Russell Regional Hospital Nursing home, CCN 17Z350
  • Azria Health Great Bend Nursing home, Great Bend, KS, CCN 175291

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RL12388NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC Family Medicine CurrentSince Aug 25, 2019 Accepting new patients
West Central Kansas Association Inc. CurrentSince Jan 1, 2026 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Aug 25, 2019 Accepting new patients
Wheatland Nursing, LLC Past Accepting new patients
West Central Kansas Association, Inc. Past Accepting new patients

Locations

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

1513 W Wyatt Earp Blvd
Dodge City, KS 67801
Phone (620) 682-8304

200 S Main St
#B
Russell, KS 67665
Phone (785) 483-3333

200 S Main St
Russell, KS 67665
Phone (785) 483-2323

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

Interoperability endpoints

  • Direct secure messaging: tyrel.somers@khindirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1174879936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 S KANSAS ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676653535",
            "telephone_number": "701-301-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S KANSAS ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676653000",
            "telephone_number": "785-483-3333",
            "fax_number": "785-483-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERS",
        "first_name": "TYREL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL12388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12083",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, KS

Sources for this page

Verify at the official NPI Registry.