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TYLER RAINER B.A.
NPI 1689105769
Pediatrics - Pediatric Emergency Medicine in Philadelphia, PA

Active since March 21, 2017PECOS Enrolled
3401 CIVIC CENTER BLVD, SUITE M975, PHILADELPHIA, PA 19104(215) 327-4964 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 6, 2023, Jan 21, 2018, Jul 3, 2017 and 1 more (4 updates tracked since 2017).

About Tyler Rainer B.a. NPPES

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

TYLER RAINER B.A. (NPI 1689105769) is an individual pediatric emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD480549) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689105769
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameTYLER RAINERCredential: B.A.
Location Address3401 CIVIC CENTER BLVD, SUITE M975Philadelphia, PA 19104-3364
Mailing Address3401 Civic Center Blvd, Suite M975Philadelphia, PA 19104-3364 · (215) 327-4964
Phone(215) 327-4964
Sole ProprietorYes
Enumeration DateMarch 21, 2017
Last NPPES UpdateApril 6, 20234 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1689105769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in PA · MD480549
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 272481 (MA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License S69718078 (MA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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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 Rainer B.a. 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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Rainer's NPI number?

The NPI number for Tyler Rainer is 1689105769. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Tyler Rainer located?

Tyler Rainer practices at 3401 Civic Center Blvd Suite M975, Philadelphia, PA 19104. The listed phone number is (215) 327-4964.

What is Tyler Rainer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Tyler Rainer enrolled in Medicare?

Yes. Tyler Rainer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Rainer was last updated on April 6, 2023. 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.