TYLER BOLD
NPI 1063850543
Internal Medicine - Infectious Disease in Minneapolis, MN
About Tyler Bold NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER BOLD (NPI 1063850543) is an individual infectious disease provider in Minneapolis, Minnesota, licensed in Minnesota (64452) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of New York University School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tyler Bold 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.
Medicare Billing Reassignments
5Medicare enrollment records show Tyler Bold reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 671 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Bold's NPI number?
The NPI number for Tyler Bold is 1063850543. It was assigned to this individual provider in the NPPES registry on June 6, 2013.
Where is Tyler Bold located?
Tyler Bold practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 672-7422.
What is Tyler Bold's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Tyler Bold enrolled in Medicare?
Yes. Tyler Bold 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.
Which organizations bill Medicare for Tyler Bold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Bold reassigns Medicare benefits to 5 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN), Fairview Bethesda Hospital (Minneapolis, MN) and Fairview Specialty Services (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Bold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Bold accept?
Health plans from Sanford Health Plan list Tyler Bold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Tyler Bold affiliated with any hospitals?
According to CMS data, Tyler Bold is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Tyler Bold was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Tyler Bold · NPI 1063850543
Infectious Disease physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 6, 2013.
## Identity
- **NPI:** 1063850543 (Entity type: Individual)
- **Enumerated:** June 6, 2013
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 64452 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 909 FULTON ST SE, Minneapolis, MN 55455-4800
- **Phone:** (612) 672-7422
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); Fairview Bethesda Hospital (NPI 1275412561, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York University School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** September 18, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1063850543) · Data from the CMS NPPES public registry.