TYLER PATRICK TATE (MD) – Pediatric Hospice and Palliative Medicine Physician, NPI 1235405150
Pediatric Hospice and Palliative Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180829004369 | I | Pediatric Medicine | OR | TBD |
| I20241031004052 | I | Hospice/Palliative Care | CA | TBD |
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.
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
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | CA | |
| - | CA | |
| Clinical Psychologist | CA | |
| Diagnostic Radiology | CO | |
| - | CA |
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