TYLER JOSEPH RYAN
NPI 1154909372
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since March 30, 2021PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Joseph Ryan NPPES

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

TYLER JOSEPH RYAN (NPI 1154909372) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Boston University School Of Medicine (2021).

NPPES Registry Identity

NPI1154909372
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER JOSEPH RYAN
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2021
Enumeration DateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
NPI 1154909372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 LAKE AVE N, Worcester, MA 01655

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tyler Joseph Ryan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052713807
PECOS Enrollment IDI20260612000673
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.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York 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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Ryan's NPI number?

The NPI number for Tyler Ryan is 1154909372. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Tyler Ryan located?

Tyler Ryan practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Tyler Ryan'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 Ryan enrolled in Medicare?

Yes. Tyler Ryan is registered in the Medicare PECOS enrollment system.

Is Tyler Ryan affiliated with any hospitals?

According to CMS data, Tyler Ryan is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Ryan was last updated on March 30, 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.