Active NPI
Tyler Cameron Delange, M.D.
- Emergency Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- T4197
- Practice address
- 1830 E Monument St Ste 6-111
Baltimore, MD 21205-2100 - Phone
- (410) 955-3380
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | T4197 | MD | Primary |
Addresses
Primary practice location
1830 E Monument St Ste 6-111
Baltimore, MD 21205-2100
Mailing address
2904 Elliott St
Baltimore, MD 21224-4861
Phone (443) 604-4642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Utah School of Medicine, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4488 Hanalei Plantation Rd
Princeville, HI 96722-5462
Phone (808) 320-7300
5121 S Cottonwood St
Salt Lake City, UT 84107-5701
Phone (801) 507-9700
5373 S Green St
Murray, UT 84123-4680
Phone (801) 442-5271
Hospital & facility affiliations
- Intermountain Medical Center
- Intermountain Health Alta View Hospital
- LDS Hospital
- Intermountain Health Riverton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.98 of 100
- Quality
- 85.2
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T4197 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Utah Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
| The Makana North Shore Clinic | Current | Accepting new patients | |
| Bestpractices, Inc. | Emergency Medicine | Past | Accepting new patients |
| Bestpractices, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
4488 Hanalei Plantation Rd
Princeville, HI 96722
Phone (808) 320-7300
1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444
201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000
3741 W 12600 S
Riverton, UT 84065
Phone (801) 285-2400
8th Ave C St E
Salt Lake City, UT 84143
Phone (218) 929-0674
5373 S Green St
Salt Lake City, UT 84123
Phone (801) 442-2670
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
9660 S 1300 E
Sandy, UT 84094
Phone (801) 314-2417
4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
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.
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Urgent Care Clinic/Center
- Princeville, HI
- NPI 1114431632
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1588048979
-
- Multi-Specialty Clinic/Center
- Riverton, UT
- NPI 1841514668
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1639177942
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
-
- General Acute Care Hospital
- Sandy, UT
- NPI 1962412486
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1528078581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700923273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 ELLIOTT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244861",
"telephone_number": "443-604-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 E MONUMENT ST STE 6-111",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212052100",
"telephone_number": "410-955-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELANGE",
"first_name": "TYLER",
"middle_name": "CAMERON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "T4197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.