Individual provider

Tyler Kimbrough, MD

Otolaryngology Physician Medicare enrolled

Tyler Kimbrough, MD is an Otolaryngology Physician in Edmonds, WA, registered under NPI 1720121361.

Getting there

The practice address on file is 21616 76TH AVE W SUITE 112, Edmonds, WA 98026. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

21616 76TH AVE W SUITE 112, Edmonds, WA 98026 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD60667019 WA Otolaryngology Physician primary

This provider holds licence MD60667019 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Otolaryngology
PAC ID
3274686845
Enrollment ID
I20090729000380

Medicare enrolment is recorded as approved under the provider type Practitioner - Otolaryngology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Otolaryngology covers

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. NUCC Health Care Provider Taxonomy, code 207Y00000X
Allopathic & Osteopathic Physicians Otolaryngology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1720121361 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 14, 2007
Last updatedJul 14, 2011
StatusActive
Sole proprietorNo
CredentialMD
Practice address 21616 76TH AVE W
SUITE 112
Edmonds, WA 98026
(425) 775-6651
Mailing address 805 MADISON ST SUITE 901
Seattle, WA 98104
Other identifiers G8882307 · Other (WA)
G8882308 · Other (WA)
This record was last updated on Jul 14, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1720121361 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 2 0 1 2 1 3 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 4 0 2 2 2 3 3

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1720121361?
NPI 1720121361 is the National Provider Identifier assigned to Tyler Kimbrough, MD in Edmonds, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Otolaryngology Physician cover?
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or…
How do I contact Tyler Kimbrough, MD?
The phone number on file with NPPES is (425) 775-6651, last updated Jul 14, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Tyler Kimbrough, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1720121361 a valid number?
Yes. 1720121361 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.