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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.

TYSON DOOLEY DO
NPI 1497623680
Student in an Organized Health Care Education/Training Program in Youngsville, LA

Active since October 28, 2025PECOS Enrolled
400 KING ARTHURS WAY, YOUNGSVILLE, LA 70592(337) 445-9628 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tyson Dooley Do NPPES

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

TYSON DOOLEY DO (NPI 1497623680) is an individual student in an organized health care education/training program in Youngsville, Louisiana and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497623680
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYSON DOOLEYCredential: DO
Location Address400 KING ARTHURS WAYYoungsville, LA 70592-5791
Mailing Address400 King Arthurs WayYoungsville, LA 70592-5791
Phone(337) 445-9628
Sole ProprietorNo
Enumeration DateOctober 28, 2025
Last NPPES UpdateSeptember 30, 2026
NPPES CertifiedSeptember 30, 2026
✔ NPI 1497623680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
400 KING ARTHURS WAY, Youngsville, LA 70592
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Other Identifiers 1

Medicaid2941542LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyson Dooley 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.

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 Tyson Dooley's NPI number?

The NPI number for Tyson Dooley is 1497623680. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Tyson Dooley located?

Tyson Dooley practices at 400 King Arthurs Way, Youngsville, LA 70592. The listed phone number is (337) 445-9628.

What is Tyson Dooley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tyson Dooley enrolled in Medicare?

Yes. Tyson Dooley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyson Dooley was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.