TYLER J. MORTELLARO D.O.
NPI 1972290385
Student in an Organized Health Care Education/Training Program in Cuyahoga Falls, OH

Q: What is Tyler Mortellaro's NPI number?

The NPI number for Tyler Mortellaro is 1972290385. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Q: What is Tyler Mortellaro's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Mortellaro was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 18, 2023PECOS Enrolled

1900 23RD ST, CUYAHOGA FALLS, OH 44223(330) 971-7225 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tyler J. Mortellaro D.o. NPPES

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

TYLER J. MORTELLARO D.O. (NPI 1972290385) is an individual student in an organized health care education/training program in Cuyahoga Falls, Ohio and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972290385

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTYLER J. MORTELLAROCredential: D.O.

Location Address1900 23RD STCuyahoga Falls, OH 44223-1404

Mailing Address1421 Live Oak RdCastle Rock, CO 80104-8548 · (732) 814-6506

Phone(330) 971-7225

Sole ProprietorYes

Enumeration DateApril 18, 2023

NPPES CertifiedApril 11, 2023

✔ NPI 1972290385 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.

1900 23RD ST, Cuyahoga Falls, OH 44223

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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)

Tyler J. Mortellaro D.o. 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.

NICHOLAS GILMORE BROTT

Student in an Organized Health Care Education/Training Program