Active NPI
Allen E Tyler, MD
- Neurology Physician
- Reading, PA
National Provider Identifier
1689604019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD024475E
- Practice address
- 2494 Bernville Road
Ste. G01
Reading, PA 19605 - Phone
- (610) 378-2779
- Fax
- (610) 378-2778
- NPI assigned
- Jul 3, 2006
- Last updated
- Aug 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD024475E | PA | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | MD204475E | PA |
Addresses
Primary practice location
2494 Bernville Road
Ste. G01
Reading, PA 19605
Mailing address
2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2779
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 614027 | Other | MD | CAREFIRST MD BCBS |
| 000948890 | Medicaid | PA | |
| 100491 | Other | PA | GEISINGER |
| 4456695 | Other | PA | AETNA |
| 104876 | Other | PA | JOHNS HOPKINS |
| 0055804000 | Other | PA | AMERIHEALTH 65 PA |
| 069575 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD024475E | PA | MD | Neurology Physician |
| MD204475E | PA | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pottstown Clinic Company LLC | Neurology | Current | Accepting new patients |
| Wellspan Medical Group | Past | Accepting new patients | |
| Neuro Iom Services Inc | Neurology | Past | Accepting new patients |
| Sentient Physicians, P.C. | Neurology | Past | Accepting new patients |
Locations
730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1689604019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 BERNVILLE RD",
"city": "READING",
"state": "PA",
"postal_code": "196059453",
"telephone_number": "610-378-2779",
"fax_number": "610-378-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2494 BERNVILLE ROAD",
"address_2": "STE. G01",
"city": "READING",
"state": "PA",
"postal_code": "19605",
"telephone_number": "610-378-2779",
"fax_number": "610-378-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "ALLEN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD024475E",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "PA",
"license": "MD204475E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "614027",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000948890",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "100491",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4456695",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "104876",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH 65 PA",
"identifier": "0055804000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "069575",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.