Individual provider Active NPI

David Tyson, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1720548100
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036161751 Issued in IL
Practice address
2600 S Michigan Ave Ste 416
Chicago, IL 60616-3400
Phone
(312) 881-3050
Fax
(312) 881-3051
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036161751 IL Primary

Addresses

Primary practice location

2600 S Michigan Ave Ste 416
Chicago, IL 60616-3400

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other practice location 1

1640 N Damen Ave
Chicago, IL 60647-5553
Phone (312) 219-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20221115002855 IL Practitioner - Internal Medicine 7113253220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AIDS Healthcare FoundationGroup PAC ID 2668369109, 101 clinicians

Practice addresses (Care Compare)

2600 S Michigan Ave
Suite 416
Chicago, IL 60616-3400
Phone (312) 881-3050

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
79.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036161751ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc Internal Medicine CurrentSince Dec 5, 2022 Accepting new patients
AIDS Healthcare Foundation CurrentSince Jul 24, 2023 Accepting new patients
AIDS Healthcare Foundation CurrentSince Jul 24, 2023 Accepting new patients
One Medical Group, Inc. Internal Medicine CurrentSince Dec 5, 2022 Accepting new patients
AIDS Healthcare Foundation Past Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

1640 N Damen Ave
Chicago, IL 60647

181 W Madison St
Ste 3825
Chicago, IL 60602
Phone (312) 999-5510

1515 E 52nd Pl
Ste 206
Chicago, IL 60615
Phone (312) 881-3050

2600 S Michigan Ave
Ste 416
Chicago, IL 60616
Phone (312) 881-3050

730 Waukegan Rd
Deerfield, IL 60015

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1720548100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE STE 416",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163400",
            "telephone_number": "312-881-3050",
            "fax_number": "312-881-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 N Damen Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606475553",
            "country_code": "US",
            "telephone_number": "312-219-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036161751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.