DR. TYLER RICHARD CHISHOLM M.D.
NPI 1154659795
Family Medicine in Federal Way, WA
About Dr. Tyler Richard Chisholm M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER RICHARD CHISHOLM M.D. (NPI 1154659795) is an individual family medicine provider in Federal Way, Washington, licensed in Washington (60302505) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Yakima, and is a graduate of University Of Washington School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tyler Richard Chisholm M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Tyler Chisholm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tyler Chisholm's NPI number?
The NPI number for Tyler Chisholm is 1154659795. It was assigned to this individual provider in the NPPES registry on November 19, 2009.
Where is Tyler Chisholm located?
Tyler Chisholm practices at 301 S 320th St, Federal Way, WA 98003. The listed phone number is (253) 874-7000.
What is Tyler Chisholm's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tyler Chisholm enrolled in Medicare?
Yes. Tyler Chisholm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tyler Chisholm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Chisholm reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Renton, WA). The 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 Tyler Chisholm'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 Tyler Chisholm was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Tyler Richard Chisholm, M.D. · NPI 1154659795
Family Medicine physician in Federal Way, Washington. Individual provider, active in the CMS NPPES registry since November 19, 2009.
## Identity
- **NPI:** 1154659795 (Entity type: Individual)
- **Enumerated:** November 19, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 60302505 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 S 320TH ST, Federal Way, WA 98003-5200
- **Phone:** (253) 874-7000 · **Fax:** (253) 874-7557
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** March 31, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1154659795) · Data from the CMS NPPES public registry.