Active NPI
Tyler Arkless, M.D.
- Family Medicine Physician
- Williams, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 46609
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
Practice addresses (Care Compare)
24065 Biggar LN
Covelo, CA 95428-9669
Phone (707) 983-6404
Hospital & facility affiliations
- Adventist Health Howard Memorial
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46609 | CA | MD | Marriage & Family Therapist |
| 46609 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current | Accepting new patients | |
| Round Valley Indian Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current | Accepting new patients | |
| Round Valley Indian Health Center | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | 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
- https://fhir4.healow.com/fhir/r4/BIAFAA
- 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.
-
- Rural Acute Care Hospital
- Ganado, AZ
- NPI 1477735777
AZ
-
- Critical Access Hospital Clinic/Center
- Ganado, AZ
- NPI 1518957398
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
-
- Primary Care Clinic/Center
- Talihina, OK
- NPI 1982992269
-
- Clinic/Center
- Bend, OR
- NPI 1336307875
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Covelo, CA
- NPI 1114136066
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.