Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tyler Ray Shackelford, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487996427

Dr. Tyler Ray Shackelford, DO is a Critical Care (Intensivists) in Albuquerque, New Mexico. Qualified in 2013, 13 years ago. Practices with Southwest Medical Associates, LLC, a 325-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
13
Licensed in
NM
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone: (505) 727-8206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • I University Of New Mexico, Albuquerque, NM 87131-0001 — (505) 272-6331

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence A-20176-16 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R06-2013 (NM)

Record details

NPI number1487996427
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 16, 2013
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Southwest Medical Associates, Llc — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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