DR. TYLER FISHER MD
NPI 1053057679
Student in an Organized Health Care Education/Training Program in Tucson, AZ
About Dr. Tyler Fisher Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER FISHER MD (NPI 1053057679) is an individual student in an organized health care education/training program in Tucson, Arizona and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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 Fisher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fisher's NPI number?
The NPI number for Tyler Fisher is 1053057679. It was assigned to this individual provider in the NPPES registry on May 6, 2022.
Where is Tyler Fisher located?
Tyler Fisher practices at 10146 E Old Vail Rd, Tucson, AZ 85747. The listed phone number is (520) 574-7400.
What is Tyler Fisher'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 Fisher enrolled in Medicare?
Yes. Tyler Fisher is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tyler Fisher was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 Fisher, MD · NPI 1053057679
Student in an Organized Health Care Education/Training Program provider in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since May 6, 2022.
## Identity
- **NPI:** 1053057679 (Entity type: Individual)
- **Enumerated:** May 6, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10146 E OLD VAIL RD, Tucson, AZ 85747-9406
- **Phone:** (520) 574-7400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053057679) · Data from the CMS NPPES public registry.