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KEVIN TYAN
NPI 1740862887
Physician Assistant in Salt Lake City, UT

Active since April 27, 2021PECOS Enrolled
375 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 581-7766 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2023, Apr 27, 2021 (2 updates tracked since 2021).

About Kevin Tyan NPPES

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

KEVIN TYAN (NPI 1740862887) is an individual physician assistant in Salt Lake City, Utah, licensed in California (63237) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740862887
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN TYAN
Location Address375 S CHIPETA WAYSalt Lake City, UT 84108-1260
Mailing Address375 S Chipeta WaySalt Lake City, UT 84108-1260 · (801) 581-7766
Phone(801) 581-7766
Sole ProprietorNo
Enumeration DateApril 27, 2021
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1740862887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 63237
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
375 S CHIPETA WAY, Salt Lake City, UT 84108
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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)

Kevin Tyan 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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.

SAMUEL RUSH OSIMITZ
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
ANA ESTHER MORA
Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
REBECCA ABBEY MD
Family Medicine
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3411
XIOMARA N. BRISENO PA-C
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
BRIAN HILL
Family Medicine (Sports Medicine)
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3411
KIA WILSON PA
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 674-1405
DR. ERIN ELIZABETH MCADAMS M.D.
General Practice
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3411
MARISSA MUSE
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766

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 Kevin Tyan's NPI number?

The NPI number for Kevin Tyan is 1740862887. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Where is Kevin Tyan located?

Kevin Tyan practices at 375 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 581-7766.

What is Kevin Tyan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kevin Tyan enrolled in Medicare?

Yes. Kevin Tyan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Tyan was last updated on November 22, 2023. 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.