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DR. TYLER NICHOLAS ADAMS MD
NPI 1710627799
Student in an Organized Health Care Education/Training Program in Kettering, OH

Active since March 29, 2022PECOS Enrolled
3525 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8839(937) 395-8387 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tyler Nicholas Adams Md NPPES

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

DR. TYLER NICHOLAS ADAMS MD (NPI 1710627799) is an individual student in an organized health care education/training program in Kettering, Ohio and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710627799
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. TYLER NICHOLAS ADAMSCredential: MD
Location Address3525 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address3525 Southern BlvdKettering, OH 45429-1221 · (937) 395-8839 · Fax (937) 395-8387
Phone(937) 395-8839
Fax(937) 395-8387
Sole ProprietorNo
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1710627799 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
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.
3525 SOUTHERN BLVD, Kettering, OH 45429
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler Nicholas Adams Md 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.

DR. STACEY LYNN POZNANSKI DO
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
JOSHUA NEAL KLEPINGER MD
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
KELLI LYN THOMAS
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
JENNIFER RAI ZAMBALES MD
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
DR. RAYMOND PATRICK TENEYCK M.D.
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
DR. RYAN MATTHEW BABIENCO M.D.
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
ROBERT NICHOLS
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
SAMUEL DOCKERY DO
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839

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 Adams's NPI number?

The NPI number for Tyler Adams is 1710627799. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Tyler Adams located?

Tyler Adams practices at 3525 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8839.

What is Tyler Adams'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 Adams enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tyler Adams was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.