Individual provider Active NPI

Jeffrey Tyler, M.D.

  • Interventional Cardiology Physician
  • Orange, CA
National Provider Identifier
1588082820
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A140085 Issued in CA
Practice address
1140 W la Veta Ave Ste 640
Orange, CA 92868-4228
Phone
(714) 564-3300
Fax
(714) 564-3318
NPI assigned
Apr 3, 2014
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A140085 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave Ste 640
Orange, CA 92868-4228

Mailing address

1140 W la Veta Ave Ste 640
Orange, CA 92868-4228
Phone (714) 564-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504002198 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8921390709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Un of California, Irvine, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1140 W la Veta Ave
Suite 640
Orange, CA 92868-4228

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as individual
Quality
79.57
Promoting interoperability
97
Improvement activities
40
Cost
83.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140085CAMDMarriage & Family Therapist
A140085CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Heart Institute and Research Center a Medical Group CurrentSince May 1, 2021 Accepting new patients
Tyson C. Cobb, M.D., Inc CurrentSince May 1, 2021 Accepting new patients
Jeffrey M. Shapiro, MD, Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

4501 Birch St
Newport Beach, CA 92660
Phone (949) 221-0136

1140 W La Veta Ave
Orange, CA 92868
Phone (714) 744-8724

1140 W La Veta Ave
Ste 615
Orange, CA 92868
Phone (714) 543-8555

1140 W La Veta Ave
Ste 640
Orange, CA 92868
Phone (714) 543-6054

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 3

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1588082820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684228",
            "telephone_number": "714-564-3300",
            "fax_number": "714-564-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684228",
            "telephone_number": "714-564-3300",
            "fax_number": "714-564-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A140085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.