TYLER RUEMMELE PA-C
NPI 1053803247
Physician Assistant - Medical in New York, NY

Active since June 04, 2018PECOS EnrolledAccepts Medicare Assignment
630 W 168TH ST, NEW YORK, NY 10032(212) 305-2500 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Ruemmele Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER RUEMMELE PA-C (NPI 1053803247) is an individual medical provider in New York, New York, licensed in Massachusetts (PA101129) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1053803247
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTYLER RUEMMELECredential: PA-C
Location Address630 W 168TH STNew York, NY 10032-3725
Mailing Address37 Egremont Rd Apt 2Boston, MA 02135-7332 · (952) 250-3312
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 4, 2018
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
NPI 1053803247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MA · PA101129
630 W 168TH ST, New York, NY 10032

Secondary Practice Location 1

Location 1450 Brookline AveBoston, MA 02215-5450 · Phone (617) 632-3352

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tyler Ruemmele Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42749335
PECOS Enrollment IDI20250131001137
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032
Internal Medicine
630 W 168TH ST, BB 2-239
NEW YORK, NY 10032
Radiology (Diagnostic Radiology)
630 W 168TH ST
NEW YORK, NY 10032
Physician Assistant
630 W 168TH ST
NEW YORK, NY 10032
Hospitalist
630 W 168TH ST, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
Dentist (Prosthodontics)
630 W 168TH ST, PH7 - 318 D
NEW YORK, NY 10032
Registered Nurse
630 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032

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 Ruemmele's NPI number?

The NPI number for Tyler Ruemmele is 1053803247. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Tyler Ruemmele located?

Tyler Ruemmele practices at 630 W 168th St, New York, NY 10032. The listed phone number is (212) 305-2500.

What is Tyler Ruemmele's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tyler Ruemmele enrolled in Medicare?

Yes. Tyler Ruemmele is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tyler Ruemmele affiliated with any hospitals?

According to CMS data, Tyler Ruemmele is affiliated with Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Ruemmele was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.