DR. TYLER R KEMNIC DO
NPI 1619538360
Internal Medicine - Pulmonary Disease in Grand Rapids, MI

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546(616) 267-8244 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2025, Jul 5, 2022 (2 updates tracked since 2022).

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

NPI1619538360
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. TYLER R KEMNICCredential: DO
Location Address4100 LAKE DR SE STE 200Grand Rapids, MI 49546-8292
Mailing Address788 Service Rd Rm B-301East Lansing, MI 48824-7013 · (517) 432-2404
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2018
Enumeration DateJune 24, 2019
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1619538360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MI · 5101026748
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

4100 LAKE DR SE STE 200, Grand Rapids, MI 49546

Accepted 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

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.

PECOS PAC ID7012395502
PECOS Enrollment IDI20250707003621
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.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Nurse Practitioner (Adult Health)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Internal Medicine (Critical Care Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Internal Medicine (Critical Care Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Nurse Practitioner (Gerontology)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Internal Medicine (Sleep Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Physician Assistant
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Pharmacist
4100 LAKE DR SE STE 200
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.

What insurance does Tyler Kemnic accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah 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.

When was this NPI record last updated?

The NPPES record for Tyler Kemnic was last updated on December 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.