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SCOTT TYRRELL DO
NPI 1831833235
Student in an Organized Health Care Education/Training Program in La Grange, IL

Active since April 22, 2022PECOS EnrolledAccepts Medicare Assignment
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525(708) 245-8948(708) 245-5721 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2022, Apr 22, 2022 (2 updates tracked since 2022).

About Scott Tyrrell Do NPPES

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

SCOTT TYRRELL DO (NPI 1831833235) is an individual student in an organized health care education/training program in La Grange, Illinois and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains a secondary practice location in La Grange.

NPPES Registry Identity

NPI1831833235
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSCOTT TYRRELLCredential: DO
Location Address1325 COMMUNITY MEMORIAL DRLa Grange, IL 60525-2659
Mailing Address1325 Community Memorial DrLa Grange, IL 60525-2659 · (708) 245-8948 · Fax (708) 245-5721
Phone(708) 245-8948
Fax(708) 245-5721
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 2022
Enumeration DateApril 22, 2022
Last NPPES UpdateMay 20, 20222 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1831833235 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.
1325 COMMUNITY MEMORIAL DR, La Grange, IL 60525
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Secondary Practice Location 1

Location 15101 Willow Springs RdLA Grange, IL 60525-2600 · Phone (708) 245-8948

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott Tyrrell Do 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 ID5991186231
PECOS Enrollment IDI20251007002585
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.

Medicare Billing Reassignment

Medicare enrollment records show Scott Tyrrell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson Park Medical Group, P.C.
14 mi
Family Medicine
5906 N MILWAUKEE AVE
Chicago, IL 60646
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Jefferson Park Medical Group PC
  • 7 clinicians in this Medicare group
NPI 1366490047 (773) 774-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

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.

DR. LEO KOENIG MD
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
GUIA STEPHANIE ALCALA PASCUAL DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
AISHAT CAROLYN OIYZA AUDU MD
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
SARAH KAY WELCH DO
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
DANIELLE MARIE GODUTO DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8948
ANERI NITISH SHAH DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
DR. DAPHNE TESSALEE MD
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
KATARZYNA HELENA ROGALA MD
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900

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 Scott Tyrrell's NPI number?

The NPI number for Scott Tyrrell is 1831833235. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Scott Tyrrell located?

Scott Tyrrell practices at 1325 Community Memorial Dr, La Grange, IL 60525. The listed phone number is (708) 245-8948.

What is Scott Tyrrell's specialty?

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

Is Scott Tyrrell enrolled in Medicare?

Yes. Scott Tyrrell 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.

Which organization bills Medicare for Scott Tyrrell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Tyrrell reassigns Medicare benefits to Jefferson Park Medical Group, P.C. (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Tyrrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Scott Tyrrell affiliated with any hospitals?

According to CMS data, Scott Tyrrell is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Scott Tyrrell was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.