Individual provider Active NPI

Tyler Church, M.D.

  • Anesthesiology Physician
  • Gilbert, AZ
National Provider Identifier
1487837159
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
37949 Issued in AZ
Practice address
428 S Gilbert Rd Ste 115
Gilbert, AZ 85296-2262
Phone
(480) 507-2961
Fax
(480) 507-2971
NPI assigned
Dec 17, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 374433-1205 UT
Anesthesiology Physician 207L00000X 37949 AZ Primary

Addresses

Primary practice location

428 S Gilbert Rd Ste 115
Gilbert, AZ 85296-2262

Mailing address

PO Box 1847
Gilbert, AZ 85299-1847
Phone (480) 507-2961

Other identifiers 1

IdentifierTypeStateIssuer
350318MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20080728000124 AZ Practitioner - Anesthesiology 9739252503 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Utah School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chandler Anesthesia Consultants LLCGroup PAC ID 0648161810, 68 clinicians
Arizona Pain Specialists PLLCGroup PAC ID 2668536418, 40 clinicians

Practice addresses (Care Compare)

1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 728-3000

9787 N 91St St
Suite 101
Scottsdale, AZ 85258-5088
Phone (480) 563-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37949AZMDAnesthesiology Physician
374433-1205UTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Specialists, PLLC CurrentSince Jul 2, 2023 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Jul 2, 2023 Accepting new patients
Hayden Surgical Center LLC CurrentSince Sep 8, 2021 Accepting new patients
Chandler Anesthesia Consultants LLC Anesthesiology CurrentSince Jul 14, 2008 Accepting new patients
Christopher Beneduce Anesthesiology PastSince Jul 7, 2024 Accepting new patients
Elite Physical Medicine LLC PastSince Apr 21, 2020 Accepting new patients
Physical Medicine of Chandler LLC PastSince May 1, 2020 Accepting new patients
Apr DME LLC PastSince Apr 13, 2019 Accepting new patients
Physical Medicine of Mesa LLC PastSince Mar 1, 2020 Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

2905 W Warner Rd
Ste 19
Chandler, AZ 85224
Phone (480) 899-2101

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

7558 W Thunderbird Rd
Ste 4B
Peoria, AZ 85381
Phone (623) 412-2241

15810 S 45th St
Ste 150
Phoenix, AZ 85048
Phone (480) 706-3060

2340 W Parkside Ln
Ste H107
Phoenix, AZ 85027
Phone (480) 245-6008

3001 E Camelback Rd
Ste 155
Phoenix, AZ 85016
Phone (602) 234-2611

10611 N Hayden Rd
Ste 102D
Scottsdale, AZ 85260
Phone (480) 307-8258

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

Interoperability endpoints

  • Direct secure messaging: gehtchurc@yourcarecommunity.org
  • Direct secure messaging: tyler.church@azp.eclinicaldirectplus.com

Organizations & group practices 11

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 2

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": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487837159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852991847",
            "telephone_number": "480-507-2961",
            "fax_number": "480-507-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD STE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962262",
            "telephone_number": "480-507-2961",
            "fax_number": "480-507-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "TYLER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "374433-1205",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "37949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350318",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.