Individual provider Active NPI

Tyler Shane McAllister, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1427542513
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2071 Issued in NV
Practice address
2950 E Flamingo Rd Ste a
Las Vegas, NV 89121-5208
Phone
(702) 731-3338
Fax
(702) 731-3341
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2071 NV Primary

Addresses

Primary practice location

2950 E Flamingo Rd Ste a
Las Vegas, NV 89121-5208

Mailing address

15 Alberon Gardens Way
Henderson, NV 89002-3367
Phone (702) 526-0609

Other practice location 1

3801 Bellemeade Ave Ste 110
Evansville, IN 47714-0111
Phone (812) 485-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730002300 NV Practitioner - Podiatry 4082017843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Arizona Podiatric Med Program at Midwestern Un, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Foot and Ankle LLCGroup PAC ID 3971771411, 3 clinicians

Practice addresses (Care Compare)

2950 E Flamingo Rd
Suite a
Las Vegas, NV 89121-5208
Phone (702) 731-3338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue197
Removal of skin lesions1-10
Removal of nail tissue125
Removal or shaving of skin growth18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Jul 26, 2021 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

5255 S Durango Dr
Ste 101
Las Vegas, NV 89113

2950 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 731-3338

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1427542513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ALBERON GARDENS WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890023367",
            "telephone_number": "702-526-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215208",
            "telephone_number": "702-731-3338",
            "fax_number": "702-731-3341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Bellemeade Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140111",
            "country_code": "US",
            "telephone_number": "812-485-7330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "TYLER",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.