Individual provider Active NPI

Tyler Marques Bauman, M.D.

  • MOHS-Micrographic Surgery Physician
  • Oak Creek, WI
National Provider Identifier
1174027882
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
82390-20 Issued in WI
Practice address
10050 S 27TH St Ste 200
Oak Creek, WI 53154-5522
Phone
(262) 754-4488
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 82390-20 WI Primary

Addresses

Primary practice location

10050 S 27TH St Ste 200
Oak Creek, WI 53154-5522

Mailing address

N6032 Fiedler Rd
Albany, WI 53502-9580
Phone (414) 369-2369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230216001126 CO Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 2668709734 Reassigns benefits to 1 organization
I20230724001065 WI Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 2668709734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Saint Louis University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Dermatologists SCGroup PAC ID 8123065794, 12 clinicians

Practice addresses (Care Compare)

10050 S 27TH St
Suite 200
Oak Creek, WI 53154-5520
Phone (262) 754-4488

Merit-based Incentive Payment System (MIPS)

Final score
91.13 of 100Reported as group
Quality
90.63
Improvement activities
40
Cost
82.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision121
Removal of skin lesions1-10
Removal of skin cancer604
Skin biopsy17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Dermatologists, SC Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Affiliated Dermatologists SC Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Center for Advanced Dermatology LLC Dermatology CurrentSince Dec 12, 2022 Accepting new patients
Affiliated Dermatologists SC Dermatology Current Accepting new patients

Locations

3455 S Yarrow St
Lakewood, CO 80227
Phone (303) 848-3047

13800 W North Ave
Ste 100
Brookfield, WI 53005
Phone (262) 754-4488

10050 S 27th St
Ste 200
Oak Creek, WI 53154
Phone (262) 754-4488

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1174027882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6032 FIEDLER RD",
            "city": "ALBANY",
            "state": "WI",
            "postal_code": "535029580",
            "telephone_number": "414-369-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 S 27TH ST STE 200",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531545522",
            "telephone_number": "262-754-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "TYLER",
        "middle_name": "MARQUES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WI",
            "license": "82390-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

Verify at the official NPI Registry.