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

Tyler James Pascavis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558945618

Tyler James Pascavis, MD is a Family Practice in Normal, Illinois. Graduated from University of Arizona College of Medicine - Phoenix in 2021, 5 years ago. Practices with Carle West Physician Group Inc, a 285-clinician group and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
5
Trained at
University of Arizona College of Medicine - Phoenix
Licensed in
AZ, IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Normal, IL

No coordinates on file. Search this address in Google Maps

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036170444 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R78523 (AZ)

Record details

NPI number1558945618
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESDecember 18, 2024
Certification dateDecember 12, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE - PHOENIX
Graduated 2021 (5 years in practice)
Group practice Carle West Physician Group Inc — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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