TYLER SAMUELS
NPI 1841012754
Anesthesiologist Assistant in Indianapolis, IN

Active since October 30, 2024Accepts Medicare Assignment
1927 BROADWAY ST APT E, INDIANAPOLIS, IN 46202(757) 472-6631 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tyler Samuels NPPES

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

TYLER SAMUELS (NPI 1841012754) is an individual anesthesiologist assistant in Indianapolis, Indiana and active in the NPI registry since October 2024. He is affiliated with St David's Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1841012754
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameTYLER SAMUELS
Location Address1927 BROADWAY ST APT EIndianapolis, IN 46202-5002
Mailing Address1927 Broadway St Apt EIndianapolis, IN 46202-5002
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 30, 2024
Last NPPES UpdateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
NPI 1841012754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1927 BROADWAY ST APT E, Indianapolis, IN 46202

Accepted 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 Samuels 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 ID5193245744
PECOS Enrollment IDI20250226000493

Hospital Affiliations CMS Care Compare 2

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

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 Samuels's NPI number?

The NPI number for Tyler Samuels is 1841012754. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Where is Tyler Samuels located?

Tyler Samuels practices at 1927 Broadway St Apt E, Indianapolis, IN 46202. The listed phone number is (757) 472-6631.

What is Tyler Samuels's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Tyler Samuels enrolled in Medicare?

Yes. Tyler Samuels 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.

What insurance does Tyler Samuels accept?

Health plans from Blue Cross and Blue Shield of Texas list Tyler Samuels as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tyler Samuels affiliated with any hospitals?

According to CMS data, Tyler Samuels is affiliated with St David's Medical Center and St David's South Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Tyler Samuels was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.