DR. TYLER KRISTOPHER ROSE M.D.
NPI 1003495490
Student in an Organized Health Care Education/Training Program in Little Rock, AR
About Dr. Tyler Kristopher Rose M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER KRISTOPHER ROSE M.D. (NPI 1003495490) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tyler Kristopher Rose M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tyler Rose's NPI number?
The NPI number for Tyler Rose is 1003495490. It was assigned to this individual provider in the NPPES registry on April 5, 2021.
Where is Tyler Rose located?
Tyler Rose practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 686-8000.
What is Tyler Rose's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tyler Rose enrolled in Medicare?
Yes. Tyler Rose is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tyler Rose was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Tyler Kristopher Rose, M.D. · NPI 1003495490
Student in an Organized Health Care Education/Training Program provider in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since April 5, 2021.
## Identity
- **NPI:** 1003495490 (Entity type: Individual)
- **Enumerated:** April 5, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4301 W MARKHAM ST, Little Rock, AR 72205-7101
- **Phone:** (501) 686-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003495490) · Data from the CMS NPPES public registry.