Active NPI
Tyler Barrett Fleming, MD
- Hospitalist Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2019-01420
- Practice address
- 3333 Silas Creek Pkwy
Winston Salem, NC 27103 - Phone
- (336) 718-8383
- Fax
- (336) 718-9622
- NPI assigned
- Apr 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2019-01420 | NC | |
| Hospitalist Physician | 208M00000X | MD177089 | OR | |
| Hospitalist Physician | 208M00000X | 2019-01420 | NC | Primary |
| Internal Medicine Physician | 207R00000X | R3198 | KY |
Addresses
Primary practice location
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 718-8383
Other practice location 1
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-5111
Other practice location 2
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500707709 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tfleming714375@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190722002273 | NC | Practitioner - Hospitalist | 6406160282 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Bethesda CT
Winston Salem, NC 27103-3019
Phone (336) 277-6000
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3198 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Medical Group | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients |
Locations
6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000
Interoperability endpoints
- tfleming714375@direct.novanthealth.org
Organizations & group practices 6
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NC
-
- Specialist
- Winston-Salem, NC
- NPI 1154371052
-
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Hematology & Oncology Physician
- Winston Salem, NC
- NPI 1215484340
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1679917702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "336-718-8383",
"fax_number": "336-718-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 SILAS CREEK PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-718-8383",
"fax_number": "336-718-9622"
}
],
"practiceLocations": [
{
"address_1": "3600 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303737",
"country_code": "US",
"telephone_number": "541-768-5111",
"fax_number": "541-768-5100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303737",
"country_code": "US",
"telephone_number": "541-768-5111",
"fax_number": "541-768-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEMING",
"first_name": "TYLER",
"middle_name": "BARRETT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-19",
"last_updated": "2020-10-26",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2019-01420",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OR",
"license": "MD177089",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2019-01420",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "R3198",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500707709",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tfleming714375@direct.novanthealth.org",
"affiliation": "N",
"address_1": "3600 NW Samaritan Dr",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303737",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.