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TYLER A RUTHERFORD DO
NPI 1477203529
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 23, 2022PECOS Enrolled
1800 ORLEANS ST, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tyler A Rutherford Do NPPES

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

TYLER A RUTHERFORD DO (NPI 1477203529) is an individual student in an organized health care education/training program in Baltimore, Maryland, licensed in Maryland (H0107153) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477203529
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER A RUTHERFORDCredential: DO
Location Address1800 ORLEANS STBaltimore, MD 21287-0010
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 933-6423
Phone(410) 955-5000
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1477203529 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 MD · H0107153
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.
1800 ORLEANS ST, Baltimore, MD 21287
Open in Google Maps ↗

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 A Rutherford 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.

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.

KATHRYN ROSENBLATT M.D.
Anesthesiology
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-7461
DR. CARMEL BOGLE M.D.
Pediatrics
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (443) 287-0526
MIAN MOHAMMAD BILAL KHALID MD
Internal Medicine (Gastroenterology)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
SPENCER WILSON
Surgery (Trauma Surgery)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 933-6423
EVAN FOX
Radiology (Neuroradiology)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
ADAM ROBERT BUSSELLS
Physician Assistant
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
DR. SARAH WALSER MD
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (484) 883-6433
LYNN DESROSIERS FNP-C
Nurse Practitioner (Family)
1800 ORLEANS ST
BALTIMORE, MD 21287
Baltimore City (410) 955-2800

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 Rutherford's NPI number?

The NPI number for Tyler Rutherford is 1477203529. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Tyler Rutherford located?

Tyler Rutherford practices at 1800 Orleans St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Tyler Rutherford'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 Rutherford enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tyler Rutherford was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.