Individual provider Active NPI

Tyler Scott McMurry, DO

  • Family Medicine Physician
  • Kailua Kona, HI
National Provider Identifier
1245767235
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOS-2033 Issued in HI
Practice address
76-6225 Kuakini Hwy Ste C106
Kailua Kona, HI 96740-2237
Phone
(808) 865-3001
Fax
(808) 865-3002
NPI assigned
May 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS019582 PA
Family Medicine Physician 207Q00000X OT017697 PA
Family Medicine Physician 207Q00000X DOS-2033 HI Primary

Addresses

Primary practice location

76-6225 Kuakini Hwy Ste C106
Kailua Kona, HI 96740-2237

Mailing address

76-6225 Kuakini Hwy Ste C106
Kailua Kona, HI 96740-2237
Phone (808) 865-3001

Other practice location 1

449 Kapahulu Ave Ste 104
Honolulu, HI 96815-3850
Phone (808) 735-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midpacific Hospitalists LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tmcmurry20895@hhsc.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1245767235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76-6225 KUAKINI HWY STE C106",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402237",
            "telephone_number": "808-865-3001",
            "fax_number": "808-865-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76-6225 KUAKINI HWY STE C106",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402237",
            "telephone_number": "808-865-3001",
            "fax_number": "808-865-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 Kapahulu Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968153850",
            "country_code": "US",
            "telephone_number": "808-735-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMURRY",
        "first_name": "TYLER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS019582",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT017697",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.