Individual provider Active NPI

Robert Christopher Tyrrell, DPM

  • Primary Podiatric Medicine Podiatrist
  • Cherry Hill, NJ
National Provider Identifier
1912906561
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
25MD00180000 Issued in NJ
Practice address
2250 Chapel Ave W Ste 130
Cherry Hill, NJ 08002-2051
Phone
(856) 663-3733
Fax
(856) 663-3660
NPI assigned
Jul 17, 2005
Last updated
Aug 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD00180000 NJ Primary

Addresses

Primary practice location

2250 Chapel Ave W Ste 130
Cherry Hill, NJ 08002-2051

Mailing address

44 Melrose Ave
Haddon Township, NJ 08108-2314
Phone (856) 869-0202

Other identifiers 7

IdentifierTypeStateIssuer
0928309OtherNJAETNA
441295OtherNJUNITED HEALTHCARE
1189506MedicaidNJ
2232722520OtherNJHORIZON BLUE SHIELD NJ
0114943000OtherNJAMERIHEALTH
E34136OtherNJAMERIHEALTH ADMINITRATORS
000534136OtherNJHIGHMARK BLUE SHIELD PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100525000226 NJ Practitioner - Podiatry 9537298898 Practice locations: Cherry Hill, NJ; Voorhees, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Brendenwood Dr
Voorhees, NJ 08043-1656
Phone (856) 424-7773

2250 Chapel W Ave
Suite 130
Cherry Hill, NJ 08002-2051
Phone (856) 663-3733

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of skin lesions1-10
Removal of nail tissue2326
Removal or shaving of skin growth894
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1912906561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MELROSE AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082314",
            "telephone_number": "856-869-0202",
            "fax_number": "856-869-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 CHAPEL AVE W STE 130",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022051",
            "telephone_number": "856-663-3733",
            "fax_number": "856-663-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRRELL",
        "first_name": "ROBERT",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-17",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00180000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0928309",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "441295",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1189506",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE SHIELD NJ",
            "identifier": "2232722520",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0114943000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINITRATORS",
            "identifier": "E34136",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD PA",
            "identifier": "000534136",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.