TYLER JOSEPH RYAN
NPI 1154909372
Student in an Organized Health Care Education/Training Program in Worcester, MA
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 and is a graduate of Boston University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
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 Joseph Ryan 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 Reassignment
Medicare enrollment records show Tyler Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 70 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.
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.
WORCESTER, MA 01655
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tyler Ryan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Ryan reassigns Medicare benefits to Weill Medical College Of Cornell (New York, NY). The 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 Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Tyler Joseph Ryan · NPI 1154909372
Student in an Organized Health Care Education/Training Program provider in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1154909372 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 334-1000
## 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:** Weill Medical College Of Cornell (NPI 1417071945, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** March 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1154909372) · Data from the CMS NPPES public registry.