NPIMap

Individual provider Active NPI

Tyler Jacob Celuck, MD

  • Surgery Physician
  • Hurricane, WV
National Provider Identifier
1700413739
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35725 Issued in WV
Practice address
3948 Teays Valley Road
Hurricane, WV 25526
Phone
(304) 351-1755
Fax
(304) 757-5422
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35725 WV Primary

Addresses

Primary practice location

3948 Teays Valley Road
Hurricane, WV 25526

Mailing address

400 Association Drive
Suite 102
Charleston, WV 25311

Other practice location 1

501 Morris Street
Charleston, WV 25301
Phone (304) 388-5432

Other practice location 2

1306 Kanawha Blvd, E
Charleston, WV 25301
Phone (304) 343-4371

Other practice location 3

1220 Lee Street, E
Charleston, WV 25301
Phone (304) 388-1800

Other practice location 4

3200 MacCorkle Avenue, SE
Charleston, WV 25304
Phone (304) 388-5432

Other practice location 5

1400 Hospital Drive
Hurricane, WV 25526
Phone (304) 757-1700

Other practice location 6

800 Pennsylvania Avenue
Charleston, WV 25302
Phone (304) 388-5432

Other identifiers 1

IdentifierTypeStateIssuer
1700413739MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyler.celuck@vandaliahealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114000217 WV Practitioner - General Surgery 1153745377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700

3948 Teays Valley Rd
Hurricane, WV 25526-8728

400 Association Dr
Suite 102
Charleston, WV 25311-1298

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35725WVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Oct 23, 2025 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Oct 23, 2025 Accepting new patients

Locations

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

1306 Kanawha Blvd E
Charleston, WV 25301
Phone (304) 343-4371

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700

Organizations & group practices 2

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 11

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1700413739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASSOCIATION DRIVE",
            "address_2": "SUITE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 TEAYS VALLEY ROAD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "304-351-1755",
            "fax_number": "304-757-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Morris Street",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "25301",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1306 Kanawha Blvd, E",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "25301",
            "country_code": "US",
            "telephone_number": "304-343-4371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Lee Street, E",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "25301",
            "country_code": "US",
            "telephone_number": "304-388-1800",
            "fax_number": "304-388-1825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 MacCorkle Avenue, SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "25304",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "25526",
            "country_code": "US",
            "telephone_number": "304-757-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Pennsylvania Avenue",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "25302",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELUCK",
        "first_name": "TYLER",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "35725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700413739",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyler.celuck@vandaliahealth.org",
            "affiliation": "N",
            "address_1": "3948 Teays Valley Road",
            "city": "Hurricane",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

Verify at the official NPI Registry.