DR. TYLER JOHN ULBRICH M.D.
NPI 1801139795
Internal Medicine in Saint Paul, MN

Q: What is Tyler Ulbrich's NPI number?

The NPI number for Tyler Ulbrich is 1801139795. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Q: What is Tyler Ulbrich's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Ulbrich was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 29, 2013PECOS EnrolledAccepts Medicare Assignment

640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456(651) 254-9673 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2016, Jun 23, 2016 (2 updates tracked since 2016).

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About Dr. Tyler John Ulbrich M.d. NPPES

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

DR. TYLER JOHN ULBRICH M.D. (NPI 1801139795) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (58859) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and is a graduate of Medical College Of Wisconsin (2013).

NPPES Registry Identity

NPI1801139795

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. TYLER JOHN ULBRICHCredential: M.D.

Location Address640 JACKSON STSaint Paul, MN 55101-2502

Mailing AddressPo Box 1309, 8170 33rd Ave S - Mail Stop 21110qMinneapolis, MN 55425-4516 · (651) 254-3456 · Fax (651) 254-9673

Phone(651) 254-3456

Fax(651) 254-9673

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2013

Enumeration DateMarch 29, 2013

Last NPPES UpdateAugust 30, 20162 updates tracked since enumeration

✔ NPI 1801139795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 58859

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 58859 (MN), 65475-20 (WI)

640 JACKSON ST, Saint Paul, MN 55101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 John Ulbrich M.d. 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 ID8224357975

PECOS Enrollment IDI20150501000818, I20160616000979

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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

35 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240106

Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County

Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521335

Location405 Stageline RoadHudson, WI 54016 · St. Croix County

Emergency services Birthing friendly

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521337

Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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