Individual provider Active NPI

William Craig Tyree, M.D.

  • Radiation Oncology Physician
  • Glasgow, KY
National Provider Identifier
1205835683
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
34721 Issued in KY
Practice address
103 Trista LN
Glasgow, KY 42141-3482
Phone
(270) 659-0184
Fax
(270) 651-9264
NPI assigned
Jul 19, 2005
Last updated
May 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 34721 KY Primary

Addresses

Primary practice location

103 Trista LN
Glasgow, KY 42141-3482

Mailing address

PO Box 416
Glasgow, KY 42142-0416
Phone (270) 659-0184

Other identifiers 2

IdentifierTypeStateIssuer
000000364528OtherKYANTHEM INDIVIDUAL PIN NUM
64047186MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050615000276 KY Practitioner - Radiation Oncology 6002850641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Louisville School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

103 Trista LN
Glasgow, KY 42141-3482
Phone (270) 651-2478

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34721KYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W. Craig Tyree, MD, PLC CurrentSince Aug 1, 2005 Accepting new patients
Richard a McGahan PSC Radiation Oncology PastSince Jul 1, 2002 Accepting new patients
Kentucky Radiation Therapy Associates PSC Radiation Oncology Past Accepting new patients

Locations

103 Trista Ln
Glasgow, KY 42141
Phone (270) 651-2478

Organizations & group practices 3

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 5

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1205835683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421420416",
            "telephone_number": "270-659-0184",
            "fax_number": "270-651-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TRISTA LN",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413482",
            "telephone_number": "270-659-0184",
            "fax_number": "270-651-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYREE",
        "first_name": "WILLIAM",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KY",
            "license": "34721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIVIDUAL PIN NUM",
            "identifier": "000000364528",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64047186",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.