Individual provider Active NPI

Tyler Reber, DPM

  • Foot & Ankle Surgery Podiatrist
  • Flagstaff, AZ
National Provider Identifier
1619499316
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-000997 Issued in AZ
Practice address
940 N Switzer Canyon Dr Ste 102
Flagstaff, AZ 86001-4852
Phone
(928) 779-5111
NPI assigned
Jul 13, 2017
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD-000997 AZ Primary

Addresses

Primary practice location

940 N Switzer Canyon Dr Ste 102
Flagstaff, AZ 86001-4852

Mailing address

940 N Switzer Canyon Dr Ste 102
Flagstaff, AZ 86001-4852
Phone (928) 779-5111

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914001875 AZ Practitioner - Podiatry 7315343506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Travis Reber DPM PLLCGroup PAC ID 3476734047, 3 clinicians

Practice addresses (Care Compare)

940 N Switzer Canyon Dr
Suite 102
Flagstaff, AZ 86001-4852
Phone (928) 779-5111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue289
Removal of skin lesions1-10
Removal of nail tissue900
Removal or shaving of skin growth818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-000997AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Travis Reber DPM PLLC Podiatrist CurrentSince Jul 26, 2021 Accepting new patients

Locations

940 N Switzer Canyon Dr
Ste 102
Flagstaff, AZ 86001
Phone (928) 779-5111

Organizations & group practices 1

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 7

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": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1619499316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N SWITZER CANYON DR STE 102",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014852",
            "telephone_number": "928-779-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N SWITZER CANYON DR STE 102",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014852",
            "telephone_number": "928-779-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBER",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-000997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.