Tyler J Millhouse
Individual provider Active NPI Physician Assistant · Bear, DE
NPI 1821762840 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1821762840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- C5-0011982 (DE)
- Practice address
- 121 Becks Woods Dr Ste 200
Bear, DE 19701-3852 - Phone
- (302) 834-7676
- NPI assigned
- Aug 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clinical Health Care Associates of New Jersey PC
Practice addresses (Care Compare)
1865 Route 70 E 260
Penn Cardiology Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 216-0300
51 N 39TH St 4 HVP
Penn Cardiology Penn Presbyterian 4TH Floor
Philadelphia, PA 19104-2640
Phone (215) 662-9189
7133 Roosevelt Blvd
Philadelphia, PA 19149-1431
Phone (215) 333-5604
Hospital & facility affiliations
- Penn Presbyterian Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in PA, DE, MD, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230221003243 | PA | Practitioner - Physician Assistant | 0446622435 | Reassigns benefits to 2 organizations |
| I20231109001808 | DE | Practitioner - Physician Assistant | 0446622435 | Reassigns benefits to 2 organizations |
| I20250423001704 | MD | Practitioner - Physician Assistant | 0446622435 | Reassigns benefits to 1 organization |
| I20260424003112 | NJ | Practitioner - Physician Assistant | 0446622435 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0011982 | DE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Health Care Associates of New Jersey, PC | Current |
Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Current |
Accepting new patients | |
| Delaware Cardiovascular Associates, P.a. | Past |
Accepting new patients |
Locations
1865 Route 70 E
Ste 260
Cherry Hill, NJ 08003
Phone (215) 662-9595
7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311
Interoperability endpoints
- doctor.doctor.p3@direct.chv.nextgenshare.com
- tyler.millhouse.p3@direct.chv.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0011982 | DE | Yes |
Addresses
Primary practice location
121 Becks Woods Dr Ste 200
Bear, DE 19701-3852
Mailing address
600 S 43Rd St
Philadelphia, PA 19104-4418
Phone (215) 596-8800
Other practice location 1
600 S 43rd St
Philadelphia, PA 19104-4418
Phone (215) 596-8800
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmillhouse@mail.usciences.edu |
Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.