TYLER AKIRA ICE
NPI 1659900736
Internal Medicine in Nampa, ID
About Tyler Akira Ice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER AKIRA ICE (NPI 1659900736) is an individual internal medicine provider in Nampa, Idaho, licensed in Idaho (M-17236) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of Wayne State University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Tyler Akira Ice 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 Ice reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lewiston, ID 83501
- Reassigned Medicare billing, Idaho enrollment
- 101 clinicians in this Medicare group
New Albany, IN 47150
- Reassigned Medicare billing, Indiana enrollment
- 163 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDSaint Alphonsus Medical Center - Nampa
Acute Care Hospitals · Nampa, IDClark Memorial Hospital
Acute Care Hospitals · Jeffersonville, INBaptist Health Floyd
Acute Care Hospitals · New Albany, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83687 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.
NAMPA, ID 83687
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 Ice's NPI number?
The NPI number for Tyler Ice is 1659900736. It was assigned to this individual provider in the NPPES registry on April 2, 2020.
Where is Tyler Ice located?
Tyler Ice practices at 4300 E Flamingo Ave, Nampa, ID 83687. The listed phone number is (714) 318-0439.
What is Tyler Ice's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Tyler Ice enrolled in Medicare?
Yes. Tyler Ice 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 Ice's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Ice reassigns Medicare benefits to 2 organizations: Sound Physicians Of Idaho (Lewiston, ID) and New Albany Hospitalist Group, LLC (New Albany, IN). 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 Ice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tyler Ice affiliated with any hospitals?
According to CMS data, Tyler Ice is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa, Clark Memorial Hospital and Baptist Health Floyd.
When was this NPI record last updated?
The NPPES record for Tyler Ice was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tyler Akira Ice · NPI 1659900736
Internal Medicine physician in Nampa, Idaho. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1659900736 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** M-17236 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 4300 E FLAMINGO AVE, Nampa, ID 83687-3138
- **Phone:** (714) 318-0439
## 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): Sound Physicians Of Idaho (NPI 1730407461, Lewiston, ID); New Albany Hospitalist Group, LLC (NPI 1255084752, New Albany, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** November 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1659900736) · Data from the CMS NPPES public registry.