Tyler King, MD
NPI 1710572763ActiveIndividual· General Practice· Phoenix, AZ
General Practice (MD) in Phoenix, Arizona, licensed in IN, with an NPI issued in March 2021. Enrolled in Medicare as order and referring only - family practice and order and referring only - general practice.
Overview
| NPI | 1710572763 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Mar 2, 2021 |
| Last updated in NPPES | May 11, 2026 |
| Certified by provider | May 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 01088186A | IN |
| Preventive Medicine, Aerospace Medicine | 2083A0100X | 01088186A | IN |
| Student in an Organized Health Care Education/Training Program | 390200000X | 01088186A | IN |
| Military Health Care Provider | 171000000X | 01088186A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Family Practice (AZ); Order and Referring Only - General Practice (VA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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