Active NPI
David Tyson, MD
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036161751
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036161751 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| One Medical Group, Inc. | Internal Medicine | Current | 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.
-
- Infectious Disease Physician
- Chicago, IL
- NPI 1437775038
-
- Community/Retail Pharmacy
- Baton Rouge, LA
- NPI 1891525184
-
- Health Service Clinic/Center
- North Miami Beach, FL
- NPI 1427218874
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.