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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLER MARIE IVORY MD
NPI 1861132177
Obstetrics & Gynecology in Oak Lawn, IL

Active since April 01, 2022PECOS Enrolled
4400 W 95TH ST STE 205, OAK LAWN, IL 60453(708) 684-5340(708) 684-3355 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 14, 2026, Jul 27, 2026 (2 updates tracked since 2026).

About Tyler Marie Ivory Md NPPES

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

TYLER MARIE IVORY MD (NPI 1861132177) is an individual obstetrics & gynecology provider in Oak Lawn, Illinois, licensed in Illinois (036181076) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Michigan State University College Of Human Medicine (2022).

NPPES Registry Identity

NPI1861132177
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTYLER MARIE IVORYCredential: MD
Location Address4400 W 95TH ST STE 205Oak Lawn, IL 60453-2658
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757
Phone(708) 684-5340
Fax(708) 684-3355
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1861132177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036181076
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4400 W 95TH ST STE 205, Oak Lawn, IL 60453
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Secondary Practice Location 1

Location 11365 Clifton Rd NEAtlanta, GA 30322-1013 · Phone (708) 502-0620

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 Marie Ivory Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416414800
PECOS Enrollment IDI20260805003174
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN M BJORKLUND WHNP-BC
Nurse Practitioner (Women's Health)
4400 W 95TH ST STE 205
OAK LAWN, IL 60453
Cook County (708) 684-5340
DR. KRISTINA NICHOLE PONTARELLI M.D.
Obstetrics & Gynecology
4400 W 95TH ST STE 205
OAK LAWN, IL 60453
Cook County (708) 684-5340
SARAH ATKINSON
Obstetrics & Gynecology
4400 W 95TH ST STE 205
OAK LAWN, IL 60453
Cook County (708) 684-5340
DR. ALEXANDRA GOLOBOF MD
Obstetrics & Gynecology
4400 W 95TH ST STE 205
OAK LAWN, IL 60453
Cook County (708) 684-5340
KATELYN ROSE BEDNARCZYK GIESE
Nurse Practitioner (Family)
4400 W 95TH ST STE 205
OAK LAWN, IL 60453
Cook County (708) 684-5430
MARY MERAM DO
Obstetrics & Gynecology
4400 W 95TH ST STE 205
OAK LAWN, IL 60453
Cook County (708) 684-5340
DR. ANKITA MAHAJAN DO
Obstetrics & Gynecology
4400 W 95TH ST STE 205
OAK LAWN, IL 60453
Cook County (708) 684-5340
DR. VALERIE SWIATKOWSKI M.D.
Obstetrics & Gynecology
4400 W 95TH ST STE 205
OAK LAWN, IL 60453
Cook County (708) 684-5340

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 Ivory's NPI number?

The NPI number for Tyler Ivory is 1861132177. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Tyler Ivory located?

Tyler Ivory practices at 4400 W 95th St Ste 205, Oak Lawn, IL 60453. The listed phone number is (708) 684-5340.

What is Tyler Ivory's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tyler Ivory enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tyler Ivory was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.