DR. TYLER R KEMNIC DO
NPI 1619538360
Internal Medicine - Pulmonary Disease in Grand Rapids, MI
About Dr. Tyler R Kemnic Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TYLER R KEMNIC DO (NPI 1619538360) is an individual pulmonary disease provider in Grand Rapids, Michigan, licensed in Michigan (5101026748) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Michigan State University College Of Osteopathic Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Tyler R Kemnic Do 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 Reassignments
2Medicare enrollment records show Tyler Kemnic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sandy, UT 84092
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 338 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTMountain West Medical Center
Acute Care Hospitals · Tooele, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
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 Kemnic's NPI number?
The NPI number for Tyler Kemnic is 1619538360. It was assigned to this individual provider in the NPPES registry on June 24, 2019.
Where is Tyler Kemnic located?
Tyler Kemnic practices at 4100 Lake Dr SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 267-8244.
What is Tyler Kemnic's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Tyler Kemnic enrolled in Medicare?
Yes. Tyler Kemnic 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 organizations bill Medicare for Tyler Kemnic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Kemnic reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Sandy, UT) and University Of Utah Acuity Care Services (Salt Lake City, UT). Each 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 Kemnic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Kemnic accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Tyler Kemnic 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 Kemnic affiliated with any hospitals?
According to CMS data, Tyler Kemnic is affiliated with University Of Utah Hospitals And Clinics and Mountain West Medical Center.
When was this NPI record last updated?
The NPPES record for Tyler Kemnic was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Tyler R Kemnic, DO · NPI 1619538360
Pulmonary Disease physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 24, 2019.
## Identity
- **NPI:** 1619538360 (Entity type: Individual)
- **Enumerated:** June 24, 2019
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 5101026748 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4100 LAKE DR SE STE 200, Grand Rapids, MI 49546-8292
- **Phone:** (616) 267-8244
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Utah Adult Services (NPI 1851904247, Sandy, UT); University Of Utah Acuity Care Services (NPI 1366804254, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2018
## Record status
- **NPPES last updated:** December 16, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1619538360) · Data from the CMS NPPES public registry.