Tyler Kellis
NPI 1790513703 · Voluntary or Charitable Agency · Salt Lake City, UT
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Kellis is a Voluntary or Charitable Agency provider in Salt Lake City, UT (NPI 1790513703).
Provider details
- NPI number
- 1790513703
- Entity type
- Individual
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Frequently asked questions
- What is Tyler Kellis's NPI number?
- Tyler Kellis's National Provider Identifier (NPI) is 1790513703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Kellis's specialty?
- Tyler Kellis is listed in the NPPES registry with a primary specialty of Voluntary or Charitable Agency (Agencies).
- Where is Tyler Kellis located?
- Tyler Kellis's practice location on file with NPPES is 30 N 1900 E, Salt Lake City, UT 84132-0002.
- What is Tyler Kellis's phone number?
- The practice phone number listed in the NPPES registry for Tyler Kellis is (623) 236-5895.
- Does Tyler Kellis accept Medicare?
- Tyler Kellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Kellis's NPI active?
- Yes — Tyler Kellis's NPI (1790513703) is active in the NPPES registry as of the last update on 2024-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.