Individual provider Active NPI

Tyler Daniel McKee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Smith, AR
National Provider Identifier
1902338320
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
306 Issued in AR
Practice address
3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone
(479) 709-6700
Fax
(479) 709-6710
NPI assigned
Apr 3, 2017
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07001333A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 07001333A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 306 AR Primary

Addresses

Primary practice location

3501 We Knight Dr
Fort Smith, AR 72903-6254

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (314) 543-6979

Other practice location 1

12188B N Meridian St Ste 330
Carmel, IN 46032-4900
Phone (317) 208-3890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyler.mckeedpm.p33@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315000819 AR Practitioner - Podiatry 8628490414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, shared by 4 NPIs, 361 clinicians

Practice addresses (Care Compare)

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001333AINMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities Podiatrist CurrentSince Mar 1, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Mar 1, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Mar 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

Interoperability endpoints

  • Direct secure messaging: tmckee38604@edirect.crh.org
  • Direct secure messaging: tyler.mckeedpm.p33@direct.ahni.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1902338320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-543-6979",
            "fax_number": "314-364-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 WE KNIGHT DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036254",
            "telephone_number": "479-709-6700",
            "fax_number": "479-709-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12188B N Meridian St Ste 330",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460324900",
            "country_code": "US",
            "telephone_number": "317-208-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "TYLER",
        "middle_name": "DANIEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001333A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001333A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyler.mckeedpm.p33@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "12188B N Meridian St Ste 330",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.