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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLER MATTINGLY
NPI 1255952891
Anesthesiology in Louisville, KY

Active since May 06, 2020PECOS Enrolled
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202(502) 852-8696 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, May 6, 2020 (2 updates tracked since 2020).

About Tyler Mattingly NPPES

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

TYLER MATTINGLY (NPI 1255952891) is an individual anesthesiology provider in Louisville, Kentucky, licensed in Kentucky (TP209) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255952891
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameTYLER MATTINGLY
Location Address500 S PRESTON ST RM 305Louisville, KY 40202-1702
Mailing Address500 S Preston St Rm 305Louisville, KY 40202-1702
Phone(502) 852-8696
Sole ProprietorNo
Enumeration DateMay 6, 2020
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1255952891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in KY · TP209
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
500 S PRESTON ST RM 305, Louisville, KY 40202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Mattingly 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.

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.

JULIANNE GRACE SCHULTZ
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (703) 677-1433
CHELSEA FATHAUER
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (812) 560-7611
QUENTIN VIRGIL WISE
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (323) 640-1105
SYMONE JORDAN
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 852-5193
CALEB X HE
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (859) 878-5655
RAHAF ALREFAI
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 810-4028
AUSTIN GREGORY CLARK
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 202-0106
JOHN R DODDS
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (270) 339-1091

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 Mattingly's NPI number?

The NPI number for Tyler Mattingly is 1255952891. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Tyler Mattingly located?

Tyler Mattingly practices at 500 S Preston St Rm 305, Louisville, KY 40202. The listed phone number is (502) 852-8696.

What is Tyler Mattingly's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Tyler Mattingly enrolled in Medicare?

Yes. Tyler Mattingly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Mattingly was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.