Individual provider Active NPI

Tyler Estes, MD

  • Electrodiagnostic Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1912586454
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
License
E-18813 Issued in AR
Practice address
2820 E Millennium Dr # 2
Fayetteville, AR 72703-6514
Phone
(479) 251-8055
NPI assigned
Apr 2, 2021
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine Physician 204R00000X E-18813 AR Primary

Addresses

Primary practice location

2820 E Millennium Dr # 2
Fayetteville, AR 72703-6514

Mailing address

2820 E Millennium Dr
Fayetteville, AR 72703-6514

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807002489 AR Practitioner - Physical Medicine and Rehabilitation 5597165449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miles M Johnson MD PAGroup PAC ID 4082788500, 2 clinicians

Practice addresses (Care Compare)

1504 SE 28TH St
Northwest Arkansas Emg Clinic
Bentonville, AR 72712-3988
Phone (479) 251-8055

2820 E Millenium PL
Fayetteville, AR 72703-6514
Phone (479) 251-8055

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miles M Johnson, M.D. P.a. CurrentSince Sep 1, 2025 Accepting new patients
Tyler Estes, MD, PLLC Electrodiagnostic Medicine PastSince Nov 24, 2025 Accepting new patients

Locations

2820 E Millennium Dr
#2
Fayetteville, AR 72703

2828 E Millennium Dr
Ste 2
Fayetteville, AR 72703
Phone (479) 582-1199

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1912586454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E MILLENNIUM DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E MILLENNIUM DR # 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036514",
            "telephone_number": "479-251-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "AR",
            "license": "E-18813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.