TYLER SLATTERY
NPI 1659802205
Podiatrist - Foot & Ankle Surgery in San Diego, CA

Active since March 24, 2017PECOS EnrolledAccepts Medicare Assignment
4077 FIFTH AVE # MER35, SAN DIEGO, CA 92103(619) 294-8111 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2024, Dec 6, 2021, Mar 24, 2017 (3 updates tracked since 2017).

About Tyler Slattery NPPES

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

TYLER SLATTERY (NPI 1659802205) is an individual foot & ankle surgery provider in San Diego, California, licensed in California (E5619) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2017).

NPPES Registry Identity

NPI1659802205
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameTYLER SLATTERY
Location Address4077 FIFTH AVE # MER35San Diego, CA 92103-2105
Mailing Address4077 Fifth Ave # Mer35San Diego, CA 92103-2105
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2017
Enumeration DateMarch 24, 2017
Last NPPES UpdateApril 2, 20243 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
NPI 1659802205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E5619
4077 FIFTH AVE # MER35, San Diego, CA 92103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tyler Slattery is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214355361
PECOS Enrollment IDI20200922001340
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.

Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103

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 Slattery's NPI number?

The NPI number for Tyler Slattery is 1659802205. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Tyler Slattery located?

Tyler Slattery practices at 4077 Fifth Ave # Mer35, San Diego, CA 92103. The listed phone number is (619) 294-8111.

What is Tyler Slattery's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Tyler Slattery enrolled in Medicare?

Yes. Tyler Slattery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tyler Slattery was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.