Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Tyler King , MD

General Practice β€’ Phoenix, AZ

Active NPI 1710572763 Individual Practitioner Female Practitioner
Practice location in NPPES

1300 N 12th St Ste 605
Phoenix, AZ 850062850

Call 6028394567 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1300 N 12th St Ste 605

Phoenix, AZ 850062850

Telephone 6028394567
Organization at the Same NPPES Address or Phone
B--Umcp Primary Care Physicians Llc Facility NPI 1982058061

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. King has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. King as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Phoenix and Arizona

57 active clinicians are listed under General Practice with a practice address in Phoenix, AZ (228 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

5.3% of these 57 clinicians have the CMS telehealth indicator.

14% of these 57 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-11
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES IN 01088186A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Preventive Medicine - Aerospace Medicine

NUCC Taxonomy Code: 2083A0100X

License # reported to NPPES IN 01088186A

Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

License # reported to NPPES IN 01088186A

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

License # reported to NPPES IN 01088186A

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - FAMILY PRACTICE

Medicare Enrollment ID

I20260618003816

Enrollment State Jurisdiction

AZ

PECOS Control ID

1052713518

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

26 listed
Dr. Christopher Alvarez , MD

Student in an Organized Health Care Education/Training Program

NPI 1598405037

Doctor of Medicine (M.D.)

NPI 1932588944

Doctor of Osteopathic Medicine (D.O.)

Dr. Mandy Boltz , MD

Family Medicine

NPI 1124481353

Doctor of Medicine (M.D.)

NPI 1639533227

Doctor of Medicine (M.D.)

Dr. Akua Ekunwe , MD

Family Medicine

NPI 1104350123

Doctor of Medicine (M.D.)

NPI 1790281046

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Business Mailing Address May 11, 2026

Registered at 1300 N 12TH ST STE 605, PHOENIX, AZ 850062850 (Tel: 6028394567)

πŸ“
Updated Practice Location March 29, 2026

Registered at 1300 N 12TH ST STE 605, PHOENIX, AZ 850062850 (Tel: 6028394567)

πŸ“
Updated Business Mailing Address March 29, 2026

Registered at 1817 SPENCER AVE, NEW BERN, NC 285605423 (Tel: 2524660921)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2026

General Practice (license number reported to NPPES: IN 01088186A)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2023

Military Health Care Provider (license number reported to NPPES: IN 01088186A)

πŸ“
Updated Practice Location March 07, 2023

Registered at 4389 BEAUFORT RD, HAVELOCK, NC 28532 (Tel: 2524660921)

πŸ“
Updated Business Mailing Address March 07, 2023

Registered at 4389 BEAUFORT RD, HAVELOCK, NC 28532 (Tel: 2524660921)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Student in an Organized Health Care Education/Training Program

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2022

Military Health Care Provider (license number reported to NPPES: IN 01088186A)

βœ…
NPI Profile Active March 02, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 02, 2021

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532339)

πŸ“
Business Mailing Address (Initial Record) March 02, 2021

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532339)

πŸ‘€
Provider Name / Credentials (Initial Record) March 02, 2021

Recorded as TYLER KING, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 02, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1710572763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2021
Last Update: May 11, 2026
Sole Proprietor: Yes

Other General Practices in Phoenix

All General Practices in Phoenix

Mailing Address

1300 N 12th St Ste 605

Phoenix, AZ 850062850

Phone: 6028394567

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.