Individual provider Active NPI

Tyler Worley, MD

  • Emergency Medicine Physician
  • Tacoma, WA
National Provider Identifier
1528690997
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U4965 Issued in TX
Practice address
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone
(253) 968-1250
NPI assigned
Feb 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X U4965 TX Primary

Addresses

Primary practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Mailing address

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-1250

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230927003788 TX Practitioner - Emergency Medicine 1355750282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearsall Emergency Medicine Associates, PAGroup PAC ID 1557623147, 45 clinicians
Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians

Practice addresses (Care Compare)

1890 George Dieter Dr
El Paso, TX 79936-4327
Phone (915) 225-7116

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 877-8136

Hospital & facility affiliations

  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668
  • The Hospitals of Providence - Memorial Campus Hospital, El Paso, TX, CCN 450002
  • The Hospitals of Providence Horizon City Campus Hospital, Horizon City, TX, CCN 670124
  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 5, 2023 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 5, 2023 Accepting new patients
HCN Ep Horizon City, LLC Past Accepting new patients

Locations

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

2400 Trawood Dr
El Paso, TX 79936
Phone (915) 577-8000

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

Organizations & group practices 3

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 8

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1528690997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2023-10-02",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U4965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.