TYLER ENGLE
NPI 1669198719
Physician Assistant - Surgical in Phoenix, AZ

Q: What is Tyler Engle's NPI number?

The NPI number for Tyler Engle is 1669198719. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Q: What is Tyler Engle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Engle was last updated on December 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 19, 2022PECOS EnrolledAccepts Medicare Assignment

500 W THOMAS RD STE 800, PHOENIX, AZ 85013(602) 406-1234(602) 406-6368 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2024, Oct 19, 2022 (2 updates tracked since 2022).

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About Tyler Engle NPPES

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

TYLER ENGLE (NPI 1669198719) is an individual surgical provider in Phoenix, Arizona, licensed in Arizona (10269) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669198719

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameTYLER ENGLE

Location Address500 W THOMAS RD STE 800Phoenix, AZ 85013-4217

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(602) 406-1234

Fax(602) 406-6368

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 19, 2022

Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1669198719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 10269

500 W THOMAS RD STE 800, Phoenix, AZ 85013

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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 Engle 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 ID1850737891

PECOS Enrollment IDI20240312003411

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.

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