Individual provider Active NPI

Tyler Leete, MD

  • Diagnostic Radiology Physician
  • Tyler, TX
National Provider Identifier
1760692115
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
N2170 Issued in TX
Practice address
910 E Houston St Ste 650
Tyler, TX 75702-8370
Phone
(903) 606-5300
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 345612 LA
Diagnostic Radiology Physician 2085R0202X N2170 TX Primary

Addresses

Primary practice location

910 E Houston St Ste 650
Tyler, TX 75702-8370

Mailing address

914 Mustang Ridge Dr
Murphy, TX 75094-4474
Phone (972) 633-9735

Other practice location 1

1453 E Bert Koun Loop
Shreveport, LA 71105-6800
Phone (318) 618-5000

Other practice location 2

811 S Washington Ave
Marshall, TX 75670-5336
Phone (903) 315-2130

Other practice location 3

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488

Other practice location 4

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 841-3017

Other practice location 5

719 W Coke Rd Ste 3
Winnsboro, TX 75494-3060
Phone (903) 342-3760

Other practice location 6

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

Other practice location 7

705 E Marshall Ave Ste 1003
Longview, TX 75601-5660
Phone (903) 315-1488

Other identifiers 4

IdentifierTypeStateIssuer
P02593035OtherTXMCRR
284950705MedicaidTX
P02587391OtherTXMCRR
284950704MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110815000299 TX Practitioner - Diagnostic Radiology 5496924151 Reassigns benefits to 2 organizations
I20250319000039 LA Practitioner - Diagnostic Radiology 5496924151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Mother Frances Hospital Regional Health Care CenterGroup PAC ID 9234025636, 120 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138

1505 E Bert Koun Loop
201 Christus Trinity Clinic Radiology G
Shreveport, LA 71105-5723
Phone (318) 681-4640

1505 E Bert Kouns Industrial Loop
101 Christus Wound Care
Shreveport, LA 71105-5723
Phone (318) 681-7480

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4599

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

800 E Dawson St
Tyler, TX 75701-2036

910 E Houston St
650 Christus Mother Frances Hospital
Tyler, TX 75702-8370
Phone (903) 531-5300

910 E Houston St
Christus Mother Frances Hospital
Tyler, TX 75702-8369
Phone (903) 531-5300

Hospital & facility affiliations

  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
  • Christus Mother Frances Hospital- Jacksonville Hospital, Jacksonville, TX, CCN 451319
  • Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
345612LAMDDiagnostic Radiology Physician
N2170TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mother Frances Hospital Regional Health Care Center CurrentSince Jan 4, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 4, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 4, 2021 Accepting new patients
Mother Frances Hospital Past Accepting new patients

Locations

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

910 E Houston St
Ste 650
Tyler, TX 75702
Phone (903) 510-5300

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

719 W Coke Rd
Ste 3
Winnsboro, TX 75494
Phone (903) 342-3376

Interoperability endpoints

  • Direct secure messaging: tleete237695@direct.sw.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1760692115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 MUSTANG RIDGE DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944474",
            "telephone_number": "972-633-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E HOUSTON ST STE 650",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028370",
            "telephone_number": "903-606-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1453 E Bert Koun Loop",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711056800",
            "country_code": "US",
            "telephone_number": "318-618-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "TX",
            "postal_code": "756705336",
            "country_code": "US",
            "telephone_number": "903-315-2130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-1488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Gaston Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752462017",
            "country_code": "US",
            "telephone_number": "214-841-3017",
            "fax_number": "214-826-9792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 W Coke Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "TX",
            "postal_code": "754943060",
            "country_code": "US",
            "telephone_number": "903-342-3760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822105",
            "country_code": "US",
            "telephone_number": "903-885-7671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 E Marshall Ave Ste 1003",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015660",
            "country_code": "US",
            "telephone_number": "903-315-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEETE",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "345612",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N2170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02593035",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284950705",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02587391",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284950704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.