TYLER ROBERT BLACKWELL MD
NPI 1346980075
Pediatrics - Pediatric Emergency Medicine in Kansas City, MO

NPI Status: Active since March 30, 2022

Contact Information

2301 HOLMES ST
KANSAS CITY, MO
ZIP 64108
Phone: (816) 404-1000

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  • Individual
  • Male
  • Years of Experience 4
  • Pediatrics
  • Pediatric Emergency Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TYLER BLACKWELL

This page provides the complete NPI Profile along with additional information for Tyler Blackwell, a pediatrician established in Kansas City, Missouri with a medical specialization in Pediatrics, focusing in pediatric emergency medicine and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1346980075 assigned on March 2022. The practitioner's primary taxonomy code is 2080P0204X with license number 2024024850 (MO). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1346980075
Provider Name
TYLER ROBERT BLACKWELL MD
Gender
Male
Entity Type
Individual
Location Address
2301 HOLMES ST KANSAS CITY, MO 64108
Location Phone
(816) 404-1000
Mailing Address
2401 GILLHAM RD PROVIDER ENROLLMENT DEPT KANSAS CITY, MO 64108
Mailing Phone
(816) 701-5200
Mailing Fax
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
Yes
Enumeration Date
03-30-2022
Last Update Date
12-05-2025
Code Navigator

A pediatrician like Tyler Blackwell is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 2401 Gillham Rd
    Kansas City, MO 64108
    (816) 234-3000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Emergency Medicine

Taxonomy Code
2080P0204X
Type
Allopathic & Osteopathic Physicians
License No.
2024024850
License State
MO
Taxonomy Description
A pediatrician who has special qualifications to manage emergencies in infants and children.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue KC Community Silver Preferred-Care Blue EPO - EPO
  • Blue KC First Bronze Preferred-Care Blue EPO - EPO
  • Blue KC Simply Blue Bronze with Spira Care Blue Metro EPO - EPO
  • Blue KC Simply Blue Gold with Spira Care Blue Metro EPO - EPO
  • Blue KC Simply Blue Silver with Spira Care Blue Metro EPO - EPO
  • Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
  • Blue KC Standard Gold Preferred-Care Blue EPO - EPO
  • Blue KC Standard Silver Preferred-Care Blue EPO - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Tyler Blackwell is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Tyler Blackwell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8729468673

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250623003171

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Tyler Blackwell is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TRUMAN MEDICAL CENTER HOSPITAL HILL2301 HOLMES STREET
KANSAS CITY, MO 64108
(816) 404-1000Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1346980075, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 1 + 8 + 8 + 0 + 0 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1346980075.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Practitioner
2301 HOLMES ST
KANSAS CITY, MO 64108
Orthopaedic Surgery
2301 HOLMES ST
KANSAS CITY, MO 64108
Obstetrics & Gynecology
2301 HOLMES ST
KANSAS CITY, MO 64108
Plastic Surgery
2301 HOLMES ST
KANSAS CITY, MO 64108
Internal Medicine (Pulmonary Disease)
2301 HOLMES ST
KANSAS CITY, MO 64108
Internal Medicine (Pulmonary Disease)
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Practitioner (Family)
2301 HOLMES ST
KANSAS CITY, MO 64108
Emergency Medicine (Emergency Medical Services)
2301 HOLMES ST
KANSAS CITY, MO 64108
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2301 HOLMES ST
KANSAS CITY, MO 64108
Family Medicine
2301 HOLMES ST
KANSAS CITY, MO 64108
Internal Medicine
2301 HOLMES ST
KANSAS CITY, MO 64108
Internal Medicine (Gastroenterology)
2301 HOLMES ST
KANSAS CITY, MO 64108
Orthopaedic Surgery
2301 HOLMES ST
KANSAS CITY, MO 64108
Internal Medicine (Allergy & Immunology)
2301 HOLMES ST
KANSAS CITY, MO 64108
Social Worker (Clinical)
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Practitioner (Adult Health)
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Anesthetist, Certified Registered
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Anesthetist, Certified Registered
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Anesthetist, Certified Registered
2301 HOLMES ST
KANSAS CITY, MO 64108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346980075, enumerated as an "individual" on March 30, 2022.

The provider is located at 2301 HOLMES ST KANSAS CITY, MO 64108 and the phone number is (816) 404-1000.

Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City. Please consult your insurance carrier or call the provider to verify.

Tyler Blackwell is affiliated with: TRUMAN MEDICAL CENTER HOSPITAL HILL.