Active NPI
Tyler Ruppel
- Dermatology Physician
- Miami, FL
National Provider Identifier
1093459976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- OS24023
- Practice address
- 3659 S Miami Ave Ste 6008
Miami, FL 33133-4221 - Phone
- (305) 856-6555
- Fax
- (305) 856-6556
- NPI assigned
- Apr 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | OS24023 | FL | Primary |
Addresses
Primary practice location
3659 S Miami Ave Ste 6008
Miami, FL 33133-4221
Mailing address
500 N Andrews Ave Apt 401
Fort Lauderdale, FL 33301-4146
Phone (813) 841-1693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Nova Southeastern College of Osteo Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1776 Polk St
Apt 2319
Hollywood, FL 33020-4646
900 Village Square Xing
Suite 290
Palm Beach Gardens, FL 33410-4547
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1093459976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N ANDREWS AVE APT 401",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333014146",
"telephone_number": "813-841-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3659 S MIAMI AVE STE 6008",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334221",
"telephone_number": "305-856-6555",
"fax_number": "305-856-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPPEL",
"first_name": "TYLER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-26",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "FL",
"license": "OS24023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.