Individual provider Active NPI

Harold David Tyler, MD

  • General Practice Physician
  • Homer, LA
National Provider Identifier
1629064019
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
016382 Issued in LA
Practice address
620 E College St
Homer, LA 71040-3202
Phone
(318) 927-2024
Fax
(318) 927-3723
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 016382 LA Primary

Addresses

Primary practice location

620 E College St
Homer, LA 71040-3202

Mailing address

620 E College St
Homer, LA 71040-3202
Phone (318) 927-2024

Other identifiers 1

IdentifierTypeStateIssuer
1358266MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20091216000089 LA Practitioner - General PracticePractitioner - General SurgeryPractitioner - Emergency Medicine 4587704986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Louisiana State University School of Medicine in Shreveport, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homer Memorial Hospital 22 clinicians

Practice addresses (Care Compare)

620 E College St
Homer, LA 71040-3202
Phone (318) 927-2024

Hospital & facility affiliations

  • Claiborne Memorial Medical Center Hospital, Homer, LA, CCN 190114

Merit-based Incentive Payment System (MIPS)

Final score
94.86 of 100Reported as group
Quality
91.31
Promoting interoperability
95
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016382LAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Homer Memorial Hospital CurrentSince May 1, 2010 Accepting new patients
Homer Memorial Hospital CurrentSince May 1, 2010 Accepting new patients

Locations

620 E College St
Homer, LA 71040
Phone (318) 927-2024

Organizations & group practices 8

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1629064019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E COLLEGE ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403202",
            "telephone_number": "318-927-2024",
            "fax_number": "318-927-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E COLLEGE ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403202",
            "telephone_number": "318-927-2024",
            "fax_number": "318-927-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "HAROLD",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "016382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358266",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, LA

Sources for this page

Verify at the official NPI Registry.