Individual provider Active NPI

Syed Muhammad Tayyab, M.D

  • Internal Medicine Physician
  • Peoria, IL
National Provider Identifier
1780952994
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47337 Issued in KY
Practice address
828 NE Glen Oak Ave Apt No208A
Peoria, IL 61603
Phone
(404) 402-9787
NPI assigned
Dec 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34272 AL
Internal Medicine Physician 207R00000X 47337 KY Primary

Addresses

Primary practice location

828 NE Glen Oak Ave Apt No208A
Peoria, IL 61603

Mailing address

PO Box 2587
Muscle Shoals, AL 35662-2587
Phone (256) 383-4473

Other identifiers 1

IdentifierTypeStateIssuer
7100323300MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AL, MI, CT, VA, GA, IN, NY8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20140825001449 KY Practitioner - Internal Medicine 0345468815 Reassigns benefits to 8 organizations
I20150723007996 AL Practitioner - Internal Medicine 0345468815 Reassigns benefits to 1 organization
I20230308001921 MI Practitioner - Internal Medicine 0345468815 Reassigns benefits to 5 organizations
I20230531000645 CT Practitioner - Internal Medicine 0345468815 Reassigns benefits to 1 organization
I20250102002844 VA Practitioner - Internal Medicine 0345468815 Reassigns benefits to 3 organizations
I20250206000655 GA Practitioner - Internal Medicine 0345468815 Reassigns benefits to 3 organizations
I20250524000154 IN Practitioner - Internal Medicine 0345468815 Reassigns benefits to 1 organization
I20251219001039 NY Practitioner - Internal Medicine 0345468815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
Clarksville Physician Services PCGroup PAC ID 3476937756, 31 clinicians
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians
Peach Physician Services, PCGroup PAC ID 9234598855, 16 clinicians
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians
Clyburn Physician Services LLCGroup PAC ID 9335631100, 20 clinicians
Benham Physician Services LLCGroup PAC ID 5496248353, 10 clinicians
Hightower Physician Services, PCGroup PAC ID 4486903176, 20 clinicians
Gloversville Physician Medicine Services PCGroup PAC ID 1850536228, 24 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 738-4251

1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone (231) 398-1000

1960 247 Connector
Byron, GA 31008-5663
Phone (478) 654-2000

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-5008

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

58 Carrol St
Lebanon, VA 24266
Phone (276) 883-8000

801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111

99 E State St
Gloversville, NY 12078-1203
Phone (518) 775-4264

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
77.5
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47337KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ingleside Physician Services, LLC CurrentSince Nov 20, 2024 Accepting new patients
Apogee Medical Group Kentucky PSC CurrentSince Jul 20, 2014 Accepting new patients
Wexford Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Otsego Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Clarksville Physician Services PC Internal Medicine CurrentSince Apr 20, 2025 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Dec 25, 2017 Accepting new patients
Clyburn Physician Services LLC Internal Medicine CurrentSince Nov 3, 2025 Accepting new patients
Peach Physician Services, PC CurrentSince Dec 13, 2024 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
St Claire Medical Center, Inc CurrentSince Nov 12, 2019 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Jul 15, 2023 Accepting new patients
South Central Physicians PLLC CurrentSince Dec 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince May 19, 2021 Accepting new patients
Benham Physician Services LLC Internal Medicine CurrentSince Nov 3, 2025 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Jul 15, 2023 Accepting new patients
Hightower Physician Services, PC CurrentSince Nov 18, 2024 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Oct 12, 2024 Accepting new patients
Gloversville Physician Medicine Services PC CurrentSince Nov 11, 2025 Accepting new patients
St Claire Medical Center, Inc., Internal Medicine CurrentSince Nov 12, 2019 Accepting new patients
Memorial Hospital, Inc. CurrentSince Oct 20, 2017 Accepting new patients
Grand Traverse Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
24 On Physicians, P.C. CurrentSince Dec 15, 2015 Accepting new patients
North Michigan Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Shoals Primary Care, LLC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
24 On Physicians, PC CurrentSince Dec 15, 2015 Accepting new patients
Memorial Hospital Inc. Internal Medicine CurrentSince Oct 20, 2017 Accepting new patients
Memorial Hospital, Inc. Current Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC Internal Medicine CurrentSince Apr 22, 2023 Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Upson County Hospital Inc Past Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients

Locations (25 of 34)

342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

200 Corporate Blvd
Lafayette, LA 70508

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

Interoperability endpoints

  • Direct secure messaging: syed.tayyab@wh.jhie.net
  • Direct secure messaging: stayyab2962991@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 32

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.

View all 32

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": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1780952994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356622587",
            "telephone_number": "256-383-4473",
            "fax_number": "256-320-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 NE GLEN OAK AVE APT NO208A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61603",
            "telephone_number": "404-402-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYYAB",
        "first_name": "SYED",
        "middle_name": "MUHAMMAD",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "34272",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "47337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100323300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.