Shannon K. Tyler, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

24784 Issued in AL

Practice address

2451 Fillingim St
Mastin BLDG.
Mobile, AL 36617-2238

Phone

(251) 470-5890

Fax

(251) 471-7925

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Internal MedicineAlso: Infectious Disease

Education

University of Mississippi School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Health Physician Billing Services LLC 342 clinicians

Mobile County Board of Health 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health University Hospital Hospital, Mobile, AL, CCN 010087

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: styler573407@direct.ochin.org
• Direct secure messaging: shannon.tyler.1@15479.direct.athenahealth.com

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.

• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1063439065

  AL

  Medicare reassignment Care Compare group NPD
• USA Health Physician Billing Services LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1720645468

  AL

  Medicare reassignment Care Compare group NPD
• Franklin Primary Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1679532303

  AL

  Medicare reassignment NPD
• University of South Alabama

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1992746838

  AL

  Medicare reassignment NPD
• USA Health Physician Billing Services LLC

  • Radiation Oncology Physician
  • Mobile, AL
  • NPI 1871150508
  Care Compare group NPD
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Citronelle, AL
  • NPI 1053406280
  Care Compare group
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Semmes, AL
  • NPI 1083629661
  Care Compare group
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1083709521
  Care Compare group
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1164846283
  Care Compare group
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, AL
  • NPI 1639474778
  Care Compare group
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1649523432
  Care Compare group
• Mobile County Board of Health

  • State or Local Public Health Clinic/Center
  • Mobile, AL
  • NPI 1780864462
  Care Compare group

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

• University of South Alabama

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1063468072

  Hospital

  Care Compare affiliation
• University of South Alabama

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1972138022

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1205883154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-470-5890",
            "fax_number": "251-471-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "MASTIN BLDG.",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-470-5890",
            "fax_number": "251-471-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "SHANNON",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "24784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "92-00090",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935856",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07639500",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51535529",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51535531",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274994700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935857",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1582034",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Two Sisters Unlimited
• TX:Team OT, LLC
• TX:Team Speech, LLC
• Donald R Tyler, M. D.
• Patricia Meier Tyler, NP
• Lisa Tynes
• Warren Glen Tyon, M.D.
• Rebecca C Tyson-Levie, LBSW
• U. S. Coast Guard Aviation Training Center Mobile
• Jennifer Hansmann Umbarger, CRNP

• All providers in Mobile, AL
• Infectious Disease Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.

Verify at the official NPI Registry.