MR. TYLER WILSON DO
NPI 1407208499
Internal Medicine in Apo, AP

Active since July 01, 2016PECOS Enrolled
BLDG 99 UNIT 5024, APO, AP 96319(315) 226-6288 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Aug 4, 2024, Jul 2, 2024 and 2 more (5 updates tracked since 2016).

About Mr. Tyler Wilson Do NPPES

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

MR. TYLER WILSON DO (NPI 1407208499) is an individual internal medicine provider in Apo, AP, licensed in California (20A21080) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1407208499
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. TYLER WILSONCredential: DO
Location AddressBLDG 99 UNIT 5024Apo, AP 96319-5024
Mailing AddressPsc 76 Box 5996Apo, AP 96319-0060 · (831) 234-4204
Sole ProprietorNo
Enumeration DateJuly 1, 2016
Last NPPES UpdateJuly 1, 20255 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
NPI 1407208499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · 20A21080
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Secondary Practice Locations 3

Location 1101 Bodin CirFairfield, CA 94535-1809 · Phone (707) 423-3000
Location 24150 V St # 1100Sacramento, CA 95817-1460 · Phone (916) 734-2737
Location 3542 Ocean St Ste KSanta Cruz, CA 95060-6622 · Phone (831) 459-0444 · Fax (831) 459-0665

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Tyler Wilson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Wilson's NPI number?

The NPI number for Tyler Wilson is 1407208499. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Where is Tyler Wilson located?

Tyler Wilson practices at Bldg 99 Unit 5024, Apo, AP 96319. The listed phone number is (315) 226-6288.

What is Tyler Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tyler Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tyler Wilson was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.