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TYLER KLEAVELAND MD
NPI 1265058812
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment
1500 E. MEDICAL CENTER DR., 1H247, ANN ARBOR, MI 48109(734) 936-4280 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Kleaveland Md NPPES

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

TYLER KLEAVELAND MD (NPI 1265058812) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351046376) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265058812
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER KLEAVELANDCredential: MD
Location Address1500 E. MEDICAL CENTER DR., 1H247Ann Arbor, MI 48109
Mailing Address1500 E. Medical Center Dr., 1h247Ann Arbor, MI 48109 · (734) 936-4280
Phone(734) 936-4280
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1265058812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351046376
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.
1500 E. MEDICAL CENTER DR., Ann Arbor, MI 48109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 Kleaveland Md 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 ID4385066109
PECOS Enrollment IDI20250807000163
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.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent 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.

DR. MEREDITH DURAN PETERS M.D.
Internal Medicine
1500 E. MEDICAL CENTER DR., 3RD FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5582
DR. ANDREA HYE CHOO KIM M.D.
Internal Medicine
1500 E. MEDICAL CENTER DR., 3RD FLOOR TAUBMAN CENTER RECP B
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5582
MR. ROBERT CLARENCE FERGUSON OTR
Occupational Therapist (Neurorehabilitation)
1500 E. MEDICAL CENTER DR., OCCUPATIONAL THERAPY DEPARTMENT
ANN ARBOR, MI 48109
Washtenaw County (734) 936-7070
DR. REHAB TAHA BAASHER M.D.
Pediatrics
1500 E. MEDICAL CENTER DR., 1ST FLOOR TAUBMAN CTR RECP D
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4179
HOLLY WISNOUSKY MD
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DR., TC B1380
ANN ARBOR, MI 48109
Washtenaw County (734) 763-7919
DR. CHRISTINE M VEENSTRA M.D.
Internal Medicine (Medical Oncology)
1500 E. MEDICAL CENTER DR., B1 FLOOR CANCER RECP C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-8902
KELLY ANNE JONES MA, CCC-SLP
Speech-Language Pathologist
1500 E. MEDICAL CENTER DR., UH SPEECH-LANGUAGE PATHOLOGY, 1D203 UH
ANN ARBOR, MI 48109
Washtenaw County (586) 540-7132
NOAH NEWMAN MD
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DR., TC B1380 SPC 5305
ANN ARBOR, MI 48109
Washtenaw County (734) 763-7919

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 Kleaveland's NPI number?

The NPI number for Tyler Kleaveland is 1265058812. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Tyler Kleaveland located?

Tyler Kleaveland practices at 1500 E. Medical Center Dr. 1h247, Ann Arbor, MI 48109. The listed phone number is (734) 936-4280.

What is Tyler Kleaveland'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 Kleaveland enrolled in Medicare?

Yes. Tyler Kleaveland 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.

What insurance does Tyler Kleaveland accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Tyler Kleaveland 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 Kleaveland affiliated with any hospitals?

According to CMS data, Tyler Kleaveland is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Tyler Kleaveland was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.