Individual provider Active NPI

Tyler Jay Homewood, DO

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Tan Valley, AZ
National Provider Identifier
1336778190
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
011176 Issued in AZ
Practice address
270 E Hunt Hwy Ste 18
San Tan Valley, AZ 85143-4964
Phone
(480) 400-5854
NPI assigned
Apr 3, 2020
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X DO2025-0186 NM
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 011176 AZ Primary

Addresses

Primary practice location

270 E Hunt Hwy Ste 18
San Tan Valley, AZ 85143-4964

Mailing address

1620 N Main St
Spanish Fork, UT 84660-1008
Phone (480) 400-5854

Other practice location 1

708 E State Highway 260 Ste B
Payson, AZ 85541-4959
Phone (480) 400-5854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 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
I20250604004112 AZ Practitioner - Otolaryngology 4981027448 Reassigns benefits to 2 organizations
I20251207000048 NM Practitioner - Otolaryngology 4981027448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Sinus Institute PLLCGroup PAC ID 9234284407, 36 clinicians
Cobre Valley Regional Medical CenterGroup PAC ID 0648181693, shared by 9 NPIs, 40 clinicians

Practice addresses (Care Compare)

270 E Hunt Hwy
Suite 18
San Tan Valley, AZ 85143-4964
Phone (480) 400-5854

3791 Southern Blvd SE
Suite 100
Rio Rancho, NM 87124-7417
Phone (505) 994-9435

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 425-3247

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2025-0186NMMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Sinus Institute PLLC Otolaryngology CurrentSince Jul 1, 2025 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Cobre Valley Regional Medical Center Current Accepting new patients
Cobre Valley Regional Medical Center Family Medicine Past Accepting new patients

Locations

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

5990 S Hospital Dr
Globe, AZ 85501
Phone (520) 402-9319

5994 S Hospital Dr
Globe, AZ 85501
Phone (928) 425-7108

803 S Ponderosa St
Ste C
Payson, AZ 85541
Phone (855) 817-4687

270 E Hunt Hwy
Ste 18
San Tan Vly, AZ 85143
Phone (480) 400-5854

1134 W US Highway 60
Superior, AZ 85173
Phone (520) 689-2423

721 E Holly St
Ste A
Deming, NM 88030
Phone (575) 201-4204

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

3917 West Rd
Ste 250
Los Alamos, NM 87544
Phone (505) 661-4147

3791 Southern Blvd SE
Ste 100
Rio Rancho, NM 87124
Phone (505) 207-7550

1620 N Main St
Spanish Fork, UT 84660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDAHAA

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 4

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1336778190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601008",
            "telephone_number": "480-400-5854",
            "fax_number": "866-913-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E HUNT HWY STE 18",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434964",
            "telephone_number": "480-400-5854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 E State Highway 260 Ste B",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855414959",
            "country_code": "US",
            "telephone_number": "480-400-5854",
            "fax_number": "866-913-0013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMEWOOD",
        "first_name": "TYLER",
        "middle_name": "JAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NM",
            "license": "DO2025-0186",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AZ",
            "license": "011176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.