TYLER JASON COLUNGA DO
NPI 1457247835
Psychiatry & Neurology - Neurology in Las Vegas, NV

Q: What is Tyler Colunga's NPI number?

The NPI number for Tyler Colunga is 1457247835. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Q: What is Tyler Colunga's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Colunga was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 13, 2025PECOS Enrolled

620 SHADOW LN, LAS VEGAS, NV 89106(702) 388-4000 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Tyler Jason Colunga Do NPPES

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

TYLER JASON COLUNGA DO (NPI 1457247835) is an individual neurology provider in Las Vegas, Nevada, licensed in Nevada (SL2339) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457247835

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameTYLER JASON COLUNGACredential: DO

Location Address620 SHADOW LNLas Vegas, NV 89106-4119

Mailing Address732 Sandy Hook TerHenderson, NV 89052-5201 · (909) 292-5083

Phone(702) 388-4000

Sole ProprietorNo

Enumeration DateJune 13, 2025

NPPES CertifiedJune 13, 2025

✔ NPI 1457247835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NV · SL2339

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

620 SHADOW LN, Las Vegas, NV 89106

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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 Jason Colunga Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JANN STACEY PICKENS NP

Nurse Practitioner