Tyler Enos, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

S7866 Issued in TX

Practice address

4302 Wolflin Ave
Amarillo, TX 79106-5959

Phone

(806) 355-9866

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Dermatology

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Plains Dermatology Center, P.a.Group PAC ID 9931189198, 3 clinicians

Amarillo Pathology Group LLPGroup PAC ID 7113998501, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tenos42427@direct.phhs.org

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.

• Amarillo Pathology Group LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • Amarillo, TX
  • NPI 1538117916
  Medicare reassignment Care Compare group NPD
• High Plains Dermatology Center, P.a.

  • Specialist
  • Amarillo, TX
  • NPI 1083667117
  Medicare reassignment Care Compare group NPD
• Enos Dermatopathology PLLC

  • Dermatopathology Physician
  • Amarillo, TX
  • NPI 1538813696
  NPD Authorized official
• Amarillo Pathology Associates LTD

  • Clinical Medical Laboratory
  • Amarillo, TX
  • NPI 1023066412
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1467988352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791065959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791065959",
            "telephone_number": "806-355-9866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4302 Wolflin Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791065959",
            "country_code": "US",
            "telephone_number": "806-290-2208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENOS",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S7866",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "S7866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Steven Enchelmeyer, PHARMD
• Encompass Health Rehabilitation Hospital of Amarillo, LLC
• Timothy John Enevoldsen, M.ED., LPC, LMFT
• Cristiane Campos Ennis, M.D.
• Enos Dermatopathology PLLC
• Epic Health Services, Inc.
• Epic Health Services, Inc.
• Epic Healthcare Services
• Madasyn Epp
• ER on Soncy, LLC

• Dermatology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.