Active NPI
Tyler Michael Bauer, MD
- Student in an Organized Health Care Education/Training Program
- Ann Arbor, MI
National Provider Identifier
1093337776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 4351046345
- Practice address
- 1500 E Medical Center Dr SPC 5346
Ann Arbor, MI 48109-5346 - Phone
- (734) 232-4765
- NPI assigned
- May 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301509639 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351046345 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr SPC 5346
Ann Arbor, MI 48109-5346
Mailing address
1500 E Medical Center Dr SPC 5346
Ann Arbor, MI 48109-5346
Phone (734) 232-4765
Other practice location 1
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- tbauer1663590@epic00.shdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1093337776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR SPC 5346",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095346",
"telephone_number": "734-232-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR SPC 5346",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095346",
"telephone_number": "734-232-4765"
}
],
"practiceLocations": [
{
"address_1": "18101 Oakwood Blvd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481244089",
"country_code": "US",
"telephone_number": "313-593-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUER",
"first_name": "TYLER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-15",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301509639",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351046345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.