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

TYLER VANADURONGVAN MD
NPI 1972173524
Family Medicine in Sioux City, IA

Active since June 27, 2021PECOS Enrolled
2501 PIERCE ST, SIOUX CITY, IA 51104(712) 294-5000 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, Jun 27, 2021 (2 updates tracked since 2021).

About Tyler Vanadurongvan Md NPPES

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

TYLER VANADURONGVAN MD (NPI 1972173524) is an individual family medicine provider in Sioux City, Iowa, licensed in Iowa (R-12297) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Hancock County Health System, and maintains a secondary practice location in Corning.

NPPES Registry Identity

NPI1972173524
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTYLER VANADURONGVANCredential: MD
Location Address2501 PIERCE STSioux City, IA 51104-3725
Mailing Address700 4th St Apt 504Sioux City, IA 51101-1728 · (612) 239-3938
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2021
Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1972173524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · R-12297
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD-55093 (IA)
2501 PIERCE ST, Sioux City, IA 51104

Secondary Practice Location 1

Location 1603 Rosary DrCorning, IA 50841-1683 · Phone (641) 322-3121 · Fax (641) 322-4872

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 (PECOS)

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

PECOS PAC ID9830591056
PECOS Enrollment IDI20260911000303
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.

Hospital Affiliations CMS Care Compare

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

Hancock County Health System

Critical Access Hospitals · Britt, IA
OwnershipGovernment - Local
CMS Certification Number161307
Location532 1st St NWBritt, IA 50423 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
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.

Family Medicine
2501 PIERCE ST
SIOUX CITY, IA 51104
Family Medicine
2501 PIERCE ST
SIOUX CITY, IA 51104
Non-Pharmacy Dispensing Site
2501 PIERCE ST
SIOUX CITY, IA 51104
Family Medicine
2501 PIERCE ST
SIOUX CITY, IA 51104
Family Medicine
2501 PIERCE ST
SIOUX CITY, IA 51104
Physician Assistant
2501 PIERCE ST
SIOUX CITY, IA 51104
Family Medicine
2501 PIERCE ST
SIOUX CITY, IA 51104
Family Medicine
2501 PIERCE ST
SIOUX CITY, IA 51104

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 Vanadurongvan's NPI number?

The NPI number for Tyler Vanadurongvan is 1972173524. It was assigned to this individual provider in the NPPES registry on June 27, 2021.

Where is Tyler Vanadurongvan located?

Tyler Vanadurongvan practices at 2501 Pierce St, Sioux City, IA 51104. The listed phone number is (712) 294-5000.

What is Tyler Vanadurongvan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tyler Vanadurongvan enrolled in Medicare?

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

What insurance does Tyler Vanadurongvan accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Tyler Vanadurongvan 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 Vanadurongvan affiliated with any hospitals?

According to CMS data, Tyler Vanadurongvan is affiliated with Hancock County Health System.

When was this NPI record last updated?

The NPPES record for Tyler Vanadurongvan was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.