TYLER TANTISOOK (MD) – Emergency Medicine Physician, NPI 1326545823

TYLER TANTISOOK (MD) is a healthcare provider. based in Chattanooga, Tennessee. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 86971 (GA). The NPI Number for TYLER TANTISOOK (MD) is 1326545823

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
TYLER TANTISOOK (MD)
NPI
1326545823
Phone
(423) 697-0014
Address
725 GLENWOOD DR STE E487
Enumeration Date
11 April 2018
Last Update Date
30 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
9128194100
Graduation Year
2018 (8 years ago)
PAC ID
4385055805
Group Practice PAC ID
1052216389
Professional Enrollment ID
I20201204000394
Address ID
GA314056015SA5353XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,131 EMERGENCY MEDICINE in TN

Provider Addresses for TYLER TANTISOOK (MD)

  • 725 GLENWOOD DR STE E487

    CHATTANOOGA, TN 374041173

    Phone: (423) 697-0014

    Fax: (423) 648-6280

    Type: Mailing

  • 2525 DESALES AVE

    CHATTANOOGA, TN 374041161

    Phone: (423) 697-0014

    Fax: (423) 648-6280

    Type: Location

  • West 8th Street, Springfield, Jacksonville, Duval County, Florida, 32209, United States

    JACKSONVILLE, FL 322096511

    Phone:

    Type: Mailing

  • UF Health Jacksonville, 655, West 8th Street, Jacksonville, Duval County, Florida, 32209, United States

    JACKSONVILLE, FL 322096511

    Phone: (904) 244-3817

    Type: Location

  • 2051 Hamill Rd

    Hixson, TN 373436614

    Phone: (423) 697-0014

    Fax: (423) 648-6280

    Type: Location

  • 100 Gross Crescent Cir

    Fort Oglethorpe, GA 307423643

    Phone: (423) 697-0014

    Fax: (423) 648-6280

    Type: Location

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: 2024-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20201204000394IEmergency MedicineGATBD
I20210827001046IEmergency MedicineTNTBD
I20240619000249IEmergency MedicineFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making296276$0
99291Critical care, first 30-74 minutes104104$0
99284Emergency department visit with moderate level of medical decision making9090$0
View full utilization report →

Insurance plans in this area (ZIP 37404)

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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: 1052216389View full group profile

Reviews

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Frequently asked questions

What is the registry number for TYLER TANTISOOK (MD)?
The registry entry for TYLER TANTISOOK (MD) shows NPI 1326545823.
Quick check: is TYLER TANTISOOK (MD) active?
Public NPPES data shows TYLER TANTISOOK (MD) with an active NPI status right now.
What services align with TYLER TANTISOOK (MD)'s listing?
TYLER TANTISOOK (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to TYLER TANTISOOK (MD)?
The directory associates TYLER TANTISOOK (MD) with Chattanooga, Tennessee. Check all listed addresses for suites or satellite offices.
Can I export TYLER TANTISOOK (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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