Individual provider Active NPI

Tyler Arkless, M.D.

  • Family Medicine Physician
  • Williams, AZ
National Provider Identifier
1235347154
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46609 Issued in AZ
Practice address
300 S 6TH St
Williams, AZ 86046-0110
Phone
(928) 635-4441
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 46609 AZ Primary

Addresses

Primary practice location

300 S 6TH St
Williams, AZ 86046-0110

Mailing address

788 Route 4 Apt 902
Sinajana, GU 96910-3356
Phone (671) 688-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GU, TX, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20121226000079 AZ Practitioner - Family Practice 9537241245 Reassigns benefits to 1 organization
I20151112001402 GU Practitioner - Family Practice 9537241245 Reassigns benefits to 2 organizations
I20200930001370 TX Practitioner - Family Practice 9537241245 Reassigns benefits to 1 organization
I20251216002219 CA Practitioner - Family Practice 9537241245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Round Valley Indian Health Center, Inc.Group PAC ID 9234128927, 17 clinicians

Practice addresses (Care Compare)

24065 Biggar LN
Covelo, CA 95428-9669
Phone (707) 983-6404

Hospital & facility affiliations

  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46609CAMDMarriage & Family Therapist
46609AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma Current Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Aug 1, 2015 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Sep 21, 2020 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Dec 3, 2019 Accepting new patients
Round Valley Indian Health Center, Inc. Family Medicine CurrentSince Dec 4, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Sep 21, 2020 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Dec 3, 2019 Accepting new patients
Round Valley Indian Health Center Past Accepting new patients
St. Joseph Health Northern California, LLC PastSince Dec 4, 2025 Accepting new patients
Central Oregon Dermatology, PC Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIAFAA
  • Direct secure messaging: tyler.arkless.p1@direct.smmg.nextgenshare.com

Organizations & group practices 11

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 1

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1235347154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 ROUTE 4 APT 902",
            "city": "SINAJANA",
            "state": "GU",
            "postal_code": "969103356",
            "telephone_number": "671-688-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 6TH ST",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860460110",
            "telephone_number": "928-635-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARKLESS",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "46609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williams, AZ

Sources for this page

Verify at the official NPI Registry.