SHANNON K. TYLER (MD) – Infectious Disease Physician, NPI 1205883154

SHANNON K. TYLER (MD) is a healthcare provider. based in Mobile, Alabama. specializing in INTERNAL MEDICINE, INFECTIOUS DISEASE. They hold the professional credentials MD. They hold a License No. 24784 (AL). The NPI Number for SHANNON K. TYLER (MD) is 1205883154

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON K. TYLER (MD)
NPI
1205883154
Phone
(251) 470-5890
Address
PO BOX 40480
Enumeration Date
27 May 2006
Last Update Date
12 May 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
2516908847
Graduation Year
1999 (27 years ago)
PAC ID
6103892575
Group Practice PAC ID
9931208386
Professional Enrollment ID
I20040907001223
Address ID
AL366035827MO251XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,215 INTERNAL MEDICINE in AL

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Provider Addresses for SHANNON K. TYLER (MD)

  • PO BOX 40480

    MOBILE, AL 366400480

    Phone: (251) 470-5890

    Fax: (251) 471-7925

    Type: Mailing

  • 2451, Fillingim Street, Crichton, Mobile, Mobile County, Alabama, 36617, United States

    MASTIN BLDG.

    MOBILE, AL 366172238

    Phone: (251) 470-5890

    Fax: (251) 471-7925

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 184 Open Payments records for all available years, with a total value of $14,305.

Total Amount is formed as General ($14,305) + Research ($0) + Ownership ($0) = $14,305.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Gilead Sciences, Inc. ($9,674).

Total Amount

$14,305

General + Research + Ownership

Payments

184

Total payment records

General Amount

$14,305

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040907001223IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36640)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931208386View full group profile

Reviews

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Frequently asked questions

Does SHANNON K. TYLER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SHANNON K. TYLER (MD) uses 1205883154.
Does the file indicate SHANNON K. TYLER (MD) is practicing under active NPI?
Directory data currently reports SHANNON K. TYLER (MD) as active.
What is SHANNON K. TYLER (MD) best known for clinically?
Directory data describes SHANNON K. TYLER (MD) with Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
What area does SHANNON K. TYLER (MD) serve?
SHANNON K. TYLER (MD)'s listing highlights Mobile, Alabama; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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