Active NPI
Tyler Jay Homewood, DO
- Otolaryngology/Facial Plastic Surgery Physician
- San Tan Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 011176
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
- 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
- Otolaryngology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cobre Valley Regional Medical Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| DO2025-0186 | NM | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Sinus Institute PLLC | Otolaryngology | Current | Accepting new patients |
| Cobre Valley Regional Medical Center | Current | Accepting new patients | |
| Cobre Valley Regional Medical Center | Current | 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
- 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.
-
- Critical Access Hospital
- Globe, AZ
- NPI 1871566521
-
- Community/Retail Pharmacy
- Globe, AZ
- NPI 1639384233
-
dba Superior Clinic
- Rural Health Clinic/Center
- Superior, AZ
- NPI 1649245135
-
dba Cobre Valley Tonto Basin Clinic
- Rural Health Clinic/Center
- Tonto Basin, AZ
- NPI 1144799677
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cobre Valley Regional Medical Center Kearny Ambulance
- Ambulance
- Kearny, AZ
- NPI 1245824747
Hospital
-
- Critical Access Hospital
- Globe, AZ
- NPI 1871566521
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.