Individual provider Active NPI

Tyler C Cebulko, M.D.

  • Otolaryngology Physician
  • Winfield, IL
National Provider Identifier
1174987242
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036157255 Issued in IL
Practice address
25 N Winfield Rd Ste 519
Winfield, IL 60190-1379
Phone
(630) 938-6161
Fax
(630) 938-6186
NPI assigned
Apr 5, 2016
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036157255 IL Primary

Addresses

Primary practice location

25 N Winfield Rd Ste 519
Winfield, IL 60190-1379

Mailing address

25 N Winfield Rd Ste 519
Winfield, IL 60190-1379
Phone (630) 938-6161

Other practice location 1

302 Randall Rd Ste 202
Geneva, IL 60134-4204
Phone (630) 938-3900

Other practice location 2

636 Raymond Dr Ste 204
Naperville, IL 60563-9791
Phone (331) 732-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210910000952 IL Practitioner - Otolaryngology 8022308899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800

25 N Winfield Rd
Winfield, IL 60190-1295

636 Raymond Dr
Suite 204
Naperville, IL 60563-9791
Phone (312) 695-4837

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036157255ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Aug 1, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 17, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 17, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Aug 1, 2021 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

302 Randall Rd
Ste 202
Geneva, IL 60134
Phone (630) 232-1818

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

636 Raymond Dr
Ste 204
Naperville, IL 60563
Phone (331) 732-4700

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Ste 505
Winfield, IL 60190
Phone (630) 614-4255

25 N Winfield Rd
Ste 519
Winfield, IL 60190
Phone (630) 668-2180

Organizations & group practices 4

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 6

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1174987242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD STE 519",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-938-6161",
            "fax_number": "630-938-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD STE 519",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-938-6161",
            "fax_number": "630-938-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Randall Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344204",
            "country_code": "US",
            "telephone_number": "630-938-3900",
            "fax_number": "630-938-3910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "636 Raymond Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605639791",
            "country_code": "US",
            "telephone_number": "331-732-4700",
            "fax_number": "331-732-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEBULKO",
        "first_name": "TYLER",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036157255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

Verify at the official NPI Registry.