MR. TYLER MATTHEW RODRIGUEZ LICHTENBERG NP
NPI 1780357228
Nurse Practitioner - Family in Midlothian, VA

Q: What is Tyler Rodriguez Lichtenberg's NPI number?

The NPI number for Tyler Rodriguez Lichtenberg is 1780357228. It was assigned to this individual provider in the NPPES registry on July 30, 2021. The provider is also known as Mr. Tyler Matthew Lichtenberg.

Q: What is Tyler Rodriguez Lichtenberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 30, 2021PECOS EnrolledAccepts Medicare Assignment

13180 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113(866) 389-2727 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 26, 2026, Dec 6, 2024, Mar 27, 2023 and 3 more (6 updates tracked since 2021).

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About Mr. Tyler Matthew Rodriguez Lichtenberg Np NPPES

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

MR. TYLER MATTHEW RODRIGUEZ LICHTENBERG NP (NPI 1780357228) is an individual family provider in Midlothian, Virginia, licensed in Virginia (0024182693) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780357228

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. TYLER MATTHEW RODRIGUEZ LICHTENBERGCredential: NP

Location Address13180 MIDLOTHIAN TPKEMidlothian, VA 23113-4245

Mailing Address13180 Midlothian TpkeMidlothian, VA 23113-4245 · (866) 389-2727

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 30, 2021

Last NPPES UpdateMarch 26, 20266 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1780357228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024182693

13180 MIDLOTHIAN TPKE, Midlothian, VA 23113

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Other Names 1

Former Name (1)Mr. Tyler Matthew Lichtenberg

Secondary Practice Locations 2

Location 17048 Mechanicsville TpkeMechanicsville, VA 23111-7101 · Phone (866) 389-2727

Location 213800 Hull Street RdMidlothian, VA 23112-2002 · Phone (866) 389-2727

Other Identifiers 1

Medicaid119591300MD

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

Mr. Tyler Matthew Rodriguez Lichtenberg Np 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 ID2567852528

PECOS Enrollment IDI20211206001907, I20241217003837

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.

Medicare Billing Reassignments

Medicare enrollment records show Tyler Rodriguez Lichtenberg reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minuteclinic Diagnostic Of Virginia LLC

109 mi

Family

19305 RUBY DR
Leesburg, VA 20176

Reassigned Medicare billing, District of Columbia and Virginia enrollments
266 clinicians in this Medicare group

NPI 1417076829 (866) 389-2727

Minuteclinic Primary Care - Virginia PLLC

109 mi

Family

19305 RUBY DR
Leesburg, VA 20176

Reassigned Medicare billing, District of Columbia and Virginia enrollments
114 clinicians in this Medicare group

NPI 1275341620 (866) 389-2727

Minuteclinic LLC

109 mi

Family

7955 TUCKERMAN LN
Rockville, MD 20854

Reassigned Medicare billing, Florida enrollment
517 clinicians in this Medicare group

NPI 1134191836 (866) 389-2727

Holy Cross Hospital Inc

793 mi

Internal Medicine

4725 N FEDERAL HIGHWAY, HCMG BILLING DEPARTMENT
Ft. Lauderdale, FL 33308

Reassigned Medicare billing, Florida enrollment
393 clinicians in this Medicare group

NPI 1467401877 (954) 351-4702

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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100073

Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23113 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBEKAH MYRTLE KING NP

Nurse Practitioner (Family)