Active NPI
Tyler Jordan Neal, D.O.
- Orthopaedic Surgery Physician
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036152932
- Practice address
- 1111 Trinity LN
Bloomington, IL 61704-8111 - Phone
- (309) 608-5100
- NPI assigned
- Jul 3, 2014
- Last updated
- Dec 24, 2024
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036152932 | IL | Primary |
Addresses
Primary practice location
1111 Trinity LN
Bloomington, IL 61704-8111
Mailing address
611 W Park
Fapc
Urbana, IL 61802
Phone (217) 902-6954
Other practice location 1
2406 E Empire St
Bloomington, IL 61704-3630
Phone (309) 663-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Physical Therapy Services, LTD.
Practice addresses (Care Compare)
135 N Williamsburg Dr
Bloomington, IL 61704-3528
Phone (309) 664-9104
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic and Sports Enhancement Center, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Carle Health Medical Group | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Christie Clinic, PLLC | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
2406 E Empire St
Bloomington, IL 61704
Phone (309) 662-4321
101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255
3101 Fields South Dr
Champaign, IL 61822
Phone (217) 366-1237
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- tneal300333@scrippshlth.medalliesdirect.net
- tnealdo323003@carlehiedirect.net
Organizations & group practices 7
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Internal Medicine Physician
- Champaign, IL
- NPI 1871523829
-
- Specialist
- Bloomington, IL
- NPI 1003900820
Orthopaedic Surgery
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1336555994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "61802",
"telephone_number": "217-902-6954",
"fax_number": "217-902-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 TRINITY LN",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617048111",
"telephone_number": "309-608-5100"
}
],
"practiceLocations": [
{
"address_1": "2406 E Empire St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617043630",
"country_code": "US",
"telephone_number": "309-663-9300",
"fax_number": "309-664-1382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEAL",
"first_name": "TYLER",
"middle_name": "JORDAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2024-12-24",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036152932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.