Individual provider Active NPI

J. Tyler Tucker, DO

  • Orthopaedic Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1285929703
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5714 Issued in TN
Practice address
2205 McCallie Ave Ste 102
Chattanooga, TN 37404-3323
Phone
(423) 493-5220
NPI assigned
Jun 13, 2011
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5714 TN Primary

Addresses

Primary practice location

2205 McCallie Ave Ste 102
Chattanooga, TN 37404-3323

Mailing address

2205 McCallie Ave Ste 102
Chattanooga, TN 37404-3323
Phone (423) 493-5220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220310000584 MO Practitioner - General PracticePractitioner - Orthopedic Surgery 7618146259 Reassigns benefits to 1 organization
I20241030003135 TN Practitioner - Orthopedic Surgery 7618146259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Diagnostic Associates LLCGroup PAC ID 9739272519, 27 clinicians

Practice addresses (Care Compare)

2205 McCallie Ave
Suite 102
Chattanooga, TN 37404-3323
Phone (423) 493-5220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5714TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgeons, P.a. Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Chattanooga Diagnostic Associates LLC CurrentSince Aug 1, 2024 Accepting new patients
Orthopedic Surgeons, P.a. Orthopaedic Surgery CurrentSince Jan 1, 2022 Accepting new patients
The Orthopaedic Center Orthopaedic Surgery PastSince Aug 1, 1999 Accepting new patients
HH Health System - the Orthopaedic Center, LLC Orthopaedic Surgery PastSince Aug 13, 2023 Accepting new patients

Locations

8250 N Church Rd
Kansas City, MO 64158
Phone (816) 459-7500

2790 Clay Edwards Dr
Ste 650
North Kansas City, MO 64116
Phone (816) 459-7500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2205 McCallie Ave
Ste 102
Chattanooga, TN 37404
Phone (423) 493-5220

2205 McCallie Ave
Ste 200
Chattanooga, TN 37404
Phone (423) 493-5220

1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
  • Direct secure messaging: tyler.tucker@hca1.eclinicaldirectplus.com

Organizations & group practices 5

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 2

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1285929703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 MCCALLIE AVE STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043323",
            "telephone_number": "423-493-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 MCCALLIE AVE STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043323",
            "telephone_number": "423-493-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "J. TYLER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "5714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.