Individual provider Active NPI

Tyler Collins, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Phoenix, AZ
National Provider Identifier
1568631919
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
48053 Issued in AZ
Practice address
2222 E Highland Ave Ste 300
Phoenix, AZ 85016-4879
Phone
(602) 277-6211
NPI assigned
Feb 29, 2008
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 48053 AZ
Orthopaedic Surgery Physician 207X00000X A107229 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 51323 CO
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 48053 AZ Primary

Addresses

Primary practice location

2222 E Highland Ave Ste 300
Phoenix, AZ 85016-4879

Mailing address

2222 E Highland Ave Ste 300
Phoenix, AZ 85016-4879
Phone (602) 277-6211

Other practice location 1

5002 S Mill Ave
Tempe, AZ 85282-6828
Phone (602) 277-6211

Other identifiers 1

IdentifierTypeStateIssuer
826586MedicaidAZ

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
I20130814000583 AZ Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2961644331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Southern California Keck School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Toca at Banner Health LLCGroup PAC ID 3072934777, 26 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

2222 E Highland Ave
Suite 300
Phoenix, AZ 85016-4879
Phone (602) 277-6211

25101 N Lake Pleasant Pkwy
Suite B 1340
Peoria, AZ 85383-1386
Phone (602) 610-6866

5002 S Mill Ave
Suite 101
Tempe, AZ 85282-6828
Phone (602) 277-6211

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

5601 W Eugie Ave
Suite 100
Glendale, AZ 85304-1256
Phone (602) 865-4510

9377 E Bell Rd
Suite 231
Scottsdale, AZ 85260-1503
Phone (602) 277-6211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.94 of 100Reported as group
Quality
60.29
Promoting interoperability
98
Improvement activities
40
Cost
71.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement15
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Upper limb (arm) arthroscopy (minimally invasive joint repair)39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107229CAMDOrthopaedic Surgery Physician
48053AZMDSports Medicine (Orthopaedic Surgery) Physician
51323COMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 26, 2024 Accepting new patients
Toca at Banner Health LLC Orthopaedic Surgery CurrentSince May 1, 2020 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 26, 2024 Accepting new patients
Toca at Banner Health LLC Orthopaedic Surgery CurrentSince May 1, 2020 Accepting new patients

Locations

18700 N 64th Dr
Ste 205
Glendale, AZ 85308
Phone (602) 536-7480

18700 N 64th Dr
Ste 220
Glendale, AZ 85308

5601 W Eugie Ave
Ste 100
Glendale, AZ 85304
Phone (602) 865-4510

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

2222 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (602) 483-6165

9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

5002 S Mill Ave
Tempe, AZ 85282
Phone (602) 512-8607

5002 S Mill Ave
Ste 101
Tempe, AZ 85282

Organizations & group practices 5

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1568631919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164879",
            "telephone_number": "602-277-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164879",
            "telephone_number": "602-277-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5002 S Mill Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852826828",
            "country_code": "US",
            "telephone_number": "602-277-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "48053",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A107229",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "51323",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "48053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826586",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.