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DR. TYRONE DAVID FILLYAW M.D.
NPI 1124285093
Psychiatry & Neurology - Child & Adolescent Psychiatry in Chevy Chase, MD

Active since May 19, 2008PECOS Enrolled
5480 WISCONSIN AVE STE 228, CHEVY CHASE, MD 20815(301) 931-7412 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Tyrone David Fillyaw M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYRONE DAVID FILLYAW M.D. (NPI 1124285093) is an individual child & adolescent psychiatry provider in Chevy Chase, Maryland, licensed in Maryland (D0055445) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124285093
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. TYRONE DAVID FILLYAWCredential: M.D.
Location Address5480 WISCONSIN AVE STE 228Chevy Chase, MD 20815-3521
Mailing Address5480 Wisconsin Ave Ste 228Chevy Chase, MD 20815-3521 · (301) 931-7412
Phone(301) 931-7412
Sole ProprietorYes
Enumeration DateMay 19, 2008
✔ NPI 1124285093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MD · D0055445
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License D0055445 (MD)
5480 WISCONSIN AVE STE 228, Chevy Chase, MD 20815
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyrone David Fillyaw M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Tyrone Fillyaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Paving The Way Multi Service Institute
9.6 mi
Community/Behavioral Health
3400 MARTIN LUTHER KING JR AVE SE STE 300
Washington, DC 20032
  • Reassigned Medicare billing, District of Columbia enrollment
  • 12 clinicians in this Medicare group
NPI 1407249378 (202) 724-7666
Grace Medical Center, Inc.
33 mi
General Acute Care Hospital
2000 W BALTIMORE ST
Baltimore, MD 21223
  • Reassigned Medicare billing, Maryland enrollment
  • 17 clinicians in this Medicare group
NPI 1104151091 (410) 362-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA G RUBIN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5480 WISCONSIN AVE STE 228
CHEVY CHASE, MD 20815
Montgomery County (301) 654-0285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyrone Fillyaw's NPI number?

The NPI number for Tyrone Fillyaw is 1124285093. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Tyrone Fillyaw located?

Tyrone Fillyaw practices at 5480 Wisconsin Ave Ste 228, Chevy Chase, MD 20815. The listed phone number is (301) 931-7412.

What is Tyrone Fillyaw's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Tyrone Fillyaw enrolled in Medicare?

Yes. Tyrone Fillyaw is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tyrone Fillyaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyrone Fillyaw reassigns Medicare benefits to 2 organizations: Paving The Way Multi Service Institute (Washington, DC) and Grace Medical Center, Inc. (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyrone Fillyaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tyrone Fillyaw was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.