TYLER PATRICK TATE (MD) – Pediatric Hospice and Palliative Medicine Physician, NPI 1235405150

TYLER PATRICK TATE (MD) is a healthcare provider. based in Portland, Oregon. specializing in HOSPICE/PALLIATIVE CARE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. C199571 (CA). The NPI Number for TYLER PATRICK TATE (MD) is 1235405150

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
TYLER PATRICK TATE (MD)
NPI
1235405150
Phone
(503) 418-5700
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
25 March 2012
Last Update Date
6 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6504987200
Graduation Year
2012 (14 years ago)
PAC ID
1658687348
Group Practice PAC ID
0840298543
Professional Enrollment ID
I20241031004052
Address ID
CA943041601PA725XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

79 HOSPICE/PALLIATIVE CARE in OR

Provider Addresses for TYLER PATRICK TATE (MD)

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 418-5700

    Fax: (503) 418-5704

    Type: Mailing

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 97239

    Phone: (503) 418-5700

    Fax: (503) 418-5704

    Type: Location

  • 4800 Sand Point Way NE # A-5950

    Seattle, WA 981053901

    Phone: (206) 987-2525

    Type: Location

  • 725 WELCH RD

    PALO ALTO, CA 943041601

    Phone: (650) 497-8000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180829004369IPediatric MedicineORTBD
I20241031004052IHospice/Palliative CareCATBD

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 97239)

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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: 0840298543View full group profile

Reviews

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Frequently asked questions

Is TYLER PATRICK TATE (MD) listed with a National Provider Identifier?
Yes — TYLER PATRICK TATE (MD) has NPI 1235405150 on file in the registry.
Active or inactive — what applies to TYLER PATRICK TATE (MD)?
You should see TYLER PATRICK TATE (MD) as active in CMS-hosted NPPES data.
What kind of doctor is TYLER PATRICK TATE (MD)?
TYLER PATRICK TATE (MD) is associated with Pediatric Hospice and Palliative Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is TYLER PATRICK TATE (MD) located near Portland?
TYLER PATRICK TATE (MD) currently maps to Portland, Oregon in this extract.
Does TYLER PATRICK TATE (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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