NPIMap

Individual provider Active NPI

Joshua A Tyler, M.D.

  • Colon & Rectal Surgery Physician
  • Biloxi, MS
National Provider Identifier
1215133830
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
24834 Issued in NE
Practice address
147 Reynoir St Ste 200
Biloxi, MS 39530-4121
Phone
(228) 436-1273
Fax
(228) 435-3211
NPI assigned
Jun 21, 2007
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 23520 MS
Colon & Rectal Surgery Physician 208C00000X 24834 NE Primary

Addresses

Primary practice location

147 Reynoir St Ste 200
Biloxi, MS 39530-4121

Mailing address

147 Reynoir St Ste 200
Biloxi, MS 39530-4121
Phone (228) 436-1273

Other practice location 1

149 Drinkwater Rd
Bay St Louis, MS 39520-1658
Phone (228) 467-8600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joshua.tyler.1@4695.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20151120000359 MS Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 8224338488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2465

147 Reynoir St
Biloxi, MS 39530-4121

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-3152

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24834NEMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Feb 1, 2025 Accepting new patients
Biloxi Hma Physician Management, LLC CurrentSince Oct 10, 2015 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Dec 12, 2024 Accepting new patients
Biloxi Hma Physician Management LLC CurrentSince Oct 10, 2015 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Dec 12, 2024 Accepting new patients
Biloxi Hma Physician Management LLC Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Feb 1, 2025 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

147 Reynoir St
Ste 200
Biloxi, MS 39530
Phone (228) 436-1273

147 Reynoir St
Ste 306
Biloxi, MS 39530
Phone (228) 432-1116

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4855

Interoperability endpoints

  • Direct secure messaging: joshua.tyler.1@4695.direct.athenahealth.com

Organizations & group practices 10

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 60

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

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1215133830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 REYNOIR ST STE 200",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304121",
            "telephone_number": "228-436-1273",
            "fax_number": "228-435-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 REYNOIR ST STE 200",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304121",
            "telephone_number": "228-436-1273",
            "fax_number": "228-435-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Drinkwater Rd",
            "address_purpose": "LOCATION",
            "city": "Bay St Louis",
            "state": "MS",
            "postal_code": "395201658",
            "country_code": "US",
            "telephone_number": "228-467-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JOSHUA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "23520",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NE",
            "license": "24834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joshua.tyler.1@4695.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "147 Reynoir St Ste 200",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395304121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.