DR. JOHN MARSHALL TYO DO
NPI 1205892171
Pediatrics - Pediatric Emergency Medicine in Buffalo, NY

Q: What is John Tyo's NPI number?

The NPI number for John Tyo is 1205892171. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Q: What is John Tyo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for John Tyo was last updated on November 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment

219 BRYANT STREET, BUFFALO, NY 14222(716) 878-7109(716) 888-3874 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. John Marshall Tyo Do NPPES

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

DR. JOHN MARSHALL TYO DO (NPI 1205892171) is an individual pediatric emergency medicine provider in Buffalo, New York, licensed in New York (213803) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (1996).

NPPES Registry Identity

NPI1205892171

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameDR. JOHN MARSHALL TYOCredential: DO

Location Address219 BRYANT STREETBuffalo, NY 14222-2006

Mailing Address4511 Harlem Road, Suite 202Amherst, NY 14226-3822 · (716) 839-6720 · Fax (716) 839-6740

Phone(716) 878-7109

Fax(716) 888-3874

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1996

Enumeration DateApril 21, 2006

Last NPPES UpdateNovember 30, 2016

✔ NPI 1205892171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in NY · 213803

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

219 BRYANT STREET, Buffalo, NY 14222

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Other Identifiers 8

Medicare PINBB9273

Other040426001680Fidelis

Medicare UPINH10401

Other3991525Iha

Medicaid01988229NY

Other00020541001Univera

Medicaid0018460620001PA

Other000525797001Bc/bs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Marshall Tyo Do 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.

PECOS PAC ID840248290

PECOS Enrollment IDI20170127001090

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.

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.

OMAR S ALIBRAHIM MD

Pediatrics (Pediatric Emergency Medicine)