TAHIRAH A TYRELL (MD) – Family Medicine Physician, NPI 1669642237

TAHIRAH A TYRELL (MD) is a healthcare provider. based in Riviera beach, Florida. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. ME115083 (FL). The NPI Number for TAHIRAH A TYRELL (MD) is 1669642237

Main info

Female
Name
TAHIRAH A TYRELL (MD)
NPI
1669642237
Phone
(561) 955-5365
Address
7305 N MILITARY TRL
Enumeration Date
10 March 2008
Last Update Date
17 February 2026

Contacts

Secure Messaging
tahirah.tyrell.1@29601.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness95
Years active:18State licenses:2Other names

Provider Addresses for TAHIRAH A TYRELL (MD)

  • 7305 N MILITARY TRL

    RIVIERA BEACH, FL 334107417

    Phone: (561) 955-5365

    Fax: (561) 955-3577

    Type: Location

  • 5361, Northwest 22nd Avenue, Brownsville, Miami-Dade County, Florida, 33142, United States

    MIAMI, FL 331428035

    Phone: (305) 637-6400

    Type: Mailing

  • 800 MEADOWS RD

    BOCA RATON, FL 334862304

    Phone: (561) 955-5365

    Fax: (816) 617-7717

    Type: Mailing

  • 20 BLANDING BLVD

    ORANGE PARK, FL 320732235

    Phone: (904) 773-8977

    Fax: (904) 773-8974

    Type: Location

  • 6101 BLUE LAGOON DR STE 200

    MIAMI, FL 331263168

    Phone: (305) 500-2000

    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: 2014-10-21

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
I20141021000519IFamily PracticeFLTBD

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 33410)

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Reviews

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Frequently asked questions

What unique ID ties claims to TAHIRAH A TYRELL (MD)?
NPI 1669642237 is assigned to TAHIRAH A TYRELL (MD) under the national enumeration system.
Is TAHIRAH A TYRELL (MD)'s NPI currently valid?
The extract we use shows TAHIRAH A TYRELL (MD) as active.
What field does TAHIRAH A TYRELL (MD) work in?
You can think of TAHIRAH A TYRELL (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for TAHIRAH A TYRELL (MD)?
The page summarizes Riviera Beach, Florida for TAHIRAH A TYRELL (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.