TYLER S SEVERANCE M.D.
NPI 1366822579
Pediatrics - Pediatric Hematology-Oncology in Columbia, MO

Q: What is Tyler Severance's NPI number?

The NPI number for Tyler Severance is 1366822579. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Q: What is Tyler Severance's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Severance was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 02, 2015PECOS Enrolled

ONE HOSPITAL DR, COLUMBIA, MO 65212(573) 882-3961(573) 884-4277 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 28, 2022, Sep 13, 2022, Jun 7, 2021 (3 updates tracked since 2021).

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About Tyler S Severance M.d. NPPES

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

TYLER S SEVERANCE M.D. (NPI 1366822579) is an individual pediatric hematology-oncology provider in Columbia, Missouri, licensed in Missouri (2022034889) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366822579

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameTYLER S SEVERANCECredential: M.D.

Location AddressONE HOSPITAL DRColumbia, MO 65212-0001

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 882-3961

Fax(573) 884-4277

Sole ProprietorNo

Enumeration DateJune 2, 2015

Last NPPES UpdateNovember 28, 20223 updates tracked since enumeration

NPPES CertifiedNovember 28, 2022

✔ NPI 1366822579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in MO · 2022034889✔ Licensed in IN · 01080551A

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

ONE HOSPITAL DR, Columbia, MO 65212

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Other Identifiers 2

Medicaid200114355MO

Medicaid201295020IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

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 S Severance M.d. 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.

KARI A MYLENBUSCH CRNA

Nurse Anesthetist, Certified Registered