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TYLER SCOTT BRECKENKAMP
NPI 1326798265
Anesthesiology in Phoenix, AZ

Active since March 24, 2022PECOS Enrolled
4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tyler Scott Breckenkamp NPPES

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

TYLER SCOTT BRECKENKAMP (NPI 1326798265) is an individual anesthesiology provider in Phoenix, Arizona, licensed in Arizona (79998) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1326798265
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameTYLER SCOTT BRECKENKAMP
Location Address4212 N 16TH STPhoenix, AZ 85016-5319
Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6076 · Fax (602) 263-1619
Phone(602) 263-1200
Fax(602) 263-1619
Sole ProprietorNo
Enumeration DateMarch 24, 2022
Last NPPES UpdateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
✔ NPI 1326798265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in AZ · 79998
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4212 N 16TH ST, Phoenix, AZ 85016
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Secondary Practice Location 1

Location 11924 Alcoa HwyKnoxville, TN 37920-1511 · Phone (865) 305-9220

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Scott Breckenkamp 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 Reassignment

Medicare enrollment records show Tyler Breckenkamp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Same address
Public Health or Welfare
4212 N 16TH ST
Phoenix, AZ 85016
  • Reassigned Medicare billing, Texas enrollment
  • 599 clinicians in this Medicare group
NPI 1083643738 (602) 263-1200

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 20

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

WENDY RAZO
Registered Nurse (Obstetric, High-Risk)
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
THOMAS RYAN HALL RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. UMAR IQBAL M.D.
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
SHARLA LOUISE WYATT RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
KATELYN WENTWORTH PELTIER PHARMD
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
LAURA MOLANDER
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. ADEL M SALAMA M.D.
Internal Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
ANCITA BIGMAN RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1511

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 Breckenkamp's NPI number?

The NPI number for Tyler Breckenkamp is 1326798265. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Tyler Breckenkamp located?

Tyler Breckenkamp practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Tyler Breckenkamp's specialty?

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

Is Tyler Breckenkamp enrolled in Medicare?

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

Which organization bills Medicare for Tyler Breckenkamp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Breckenkamp reassigns Medicare benefits to Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (Phoenix, AZ). 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 Breckenkamp'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 Breckenkamp was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.