Individual provider Active NPI

Richard Oliver Tyrell, MD

  • Plastic and Reconstructive Surgery Physician
  • Reno, NV
National Provider Identifier
1508156928
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
26063 Issued in NV
Practice address
960 Caughlin Xing Ste 101
Reno, NV 89519-0692
Phone
(775) 348-9798
NPI assigned
Apr 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 11250305-1205 UT
Plastic and Reconstructive Surgery Physician 2086S0122X MD465033 PA
Plastic and Reconstructive Surgery Physician 2086S0122X 26063 NV Primary
Plastic Surgery Physician 208200000X 24166 ND
Plastic and Reconstructive Surgery Physician 2086S0122X 0101272945 VA

Addresses

Primary practice location

960 Caughlin Xing Ste 101
Reno, NV 89519-0692

Mailing address

960 Caughlin Xing Ste 100
Reno, NV 89519-0692
Phone (775) 348-9798

Other practice location 1

222 N 7th St
Bismarck, ND 58501-4436
Phone (701) 323-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, NV, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190405002013 PA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Internal Medicine 7911248612 Reassigns benefits to 2 organizations
I20211118000600 VA Practitioner - Plastic and Reconstructive Surgery 7911248612 Reassigns benefits to 1 organization
I20260114003363 NV Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 7911248612 Reassigns benefits to 2 organizations
I20260511001966 ND Practitioner - Plastic and Reconstructive Surgery 7911248612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

1833 E Bismarck Expressway
Sanford Health Chiropractic
Bismarck, ND 58501-4436
Phone (701) 323-5222

222 N 7TH St
Bismarck, ND 58501-4436
Phone (701) 323-6000

300 N 7TH St
Bismarck, ND 58501-4439
Phone (701) 323-6000

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

960 Caughlin Xing
Suite 101
Reno, NV 89519-0692
Phone (775) 348-9798

Hospital & facility affiliations

  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24166NDMDPlastic Surgery Physician
11250305-1205UTMDPlastic Surgery Physician
26063NVMDPlastic and Reconstructive Surgery Physician
MD465033PAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rive Plastic Surgery Plastic Surgery CurrentSince Mar 22, 2026 Accepting new patients
Community Care Services LLC CurrentSince Nov 6, 2025 Accepting new patients
Temple Faculty Practice Plan Inc Plastic and Reconstructive Surgery CurrentSince Jan 1, 2021 Accepting new patients
Community Care Services LLC CurrentSince Nov 6, 2025 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
KND Development 59 LLC CurrentSince Jun 1, 2020 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jan 1, 2021 Accepting new patients
Sentara Medical Group CurrentSince Sep 27, 2021 Accepting new patients

Locations

960 Caughlin Xing
Ste 101
Reno, NV 89519
Phone (775) 348-9798

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

2000 Old West Chester Pike
Havertown, PA 19083
Phone (610) 536-2100

6129 Palmetto St
Philadelphia, PA 19111
Phone (215) 722-8555

7500 Central Ave
Philadelphia, PA 19111
Phone (215) 214-4100

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

600 Gresham Dr
Ste 204
Norfolk, VA 23507
Phone (757) 388-5680

301 Riverview Ave
Ste 300
Norfolk, VA 23510
Phone (757) 668-4578

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

301 Riverview Ave
Ste 400
Norfolk, VA 23510
Phone (757) 252-1700

Interoperability endpoints

  • Direct secure messaging: rtyrell687945@direct.sentara.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1508156928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 CAUGHLIN XING STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190692",
            "telephone_number": "775-348-9798",
            "fax_number": "775-348-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CAUGHLIN XING STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190692",
            "telephone_number": "775-348-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014436",
            "country_code": "US",
            "telephone_number": "701-323-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYRELL",
        "first_name": "RICHARD",
        "middle_name": "OLIVER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "11250305-1205",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD465033",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NV",
            "license": "26063",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "ND",
            "license": "24166",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101272945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.