Individual provider Active NPI

Tyler Tewilliager, DPM

  • Podiatrist
  • Houma, LA
National Provider Identifier
1295230118
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD346187 Issued in LA
Practice address
1001 School St
Houma, LA 70360-4691
Phone
(985) 868-1540
NPI assigned
Mar 25, 2018
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X MD346187 LA Primary
Podiatrist 213E00000X 282269 KY
Podiatrist 213E00000X POD.0000876 CO
Foot & Ankle Surgery Podiatrist 213ES0103X 282269 KY
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000876 CO

Addresses

Primary practice location

1001 School St
Houma, LA 70360-4691

Mailing address

1001 School St
Houma, LA 70360-4629
Phone (985) 868-1540

Other practice location 1

8101 E Lowry Blvd Ste 230
Denver, CO 80230-7195
Phone (303) 344-9090

Other practice location 2

393 E Town St Ste 116
Columbus, OH 43215-4799
Phone (614) 566-9108

Other practice location 3

285 E State St
Columbus, OH 43215-4354
Phone (614) 566-8073

Other practice location 4

107 Maryland Dr
Luling, LA 70070-2163
Phone (985) 868-1540

Other practice location 5

13554 Highway 3235
LaRose, LA 70373-3203
Phone (985) 798-7763

Other practice location 6

1216 N Victor II Blvd
Morgan City, LA 70380-1382
Phone (985) 384-7001

Other practice location 7

6400 Dutchmans Pkwy Ste 215
Louisville, KY 40205-3343
Phone (502) 721-8288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KY, LA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210714003677 CO Practitioner - Podiatry 3678820321
I20230314001719 KY Practitioner - Podiatry 3678820321 Reassigns benefits to 1 organization
I20250623002838 LA Practitioner - Podiatry 3678820321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houma Orthopedic Clinic AMCGroup PAC ID 4183683923, 21 clinicians

Practice addresses (Care Compare)

1001 School St
Houma, LA 70360-4629
Phone (985) 868-1540

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue21
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD346187LAMDPodiatrist
POD.0000876COMDFoot & Ankle Surgery Podiatrist
282269KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Houma Orthopedic Clinic AMC CurrentSince Jun 1, 2025 Accepting new patients
Houma Orthopedic Clinic AMC CurrentSince Jun 1, 2025 Accepting new patients
Sports Medicine Surgical Specialists PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2023 Accepting new patients
Sports Medicine Surgical Specialists PLLC Podiatrist CurrentSince Mar 1, 2023 Accepting new patients
Houma Orthopedic Clinic AMC Past Accepting new patients

Locations

6400 Dutchmans Pkwy
Ste 215
Louisville, KY 40205
Phone (502) 721-8288

1001 School St
Houma, LA 70360
Phone (504) 868-1540

13554 Highway 3235
Larose, LA 70373
Phone (985) 798-7763

107 Maryland Dr
Luling, LA 70070
Phone (504) 349-6411

1216 N Victor II Blvd
Morgan City, LA 70380
Phone (985) 384-7001

1216 N Victor II Blvd
Ste 200
Morgan City, LA 70380
Phone (866) 493-8899

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1295230118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SCHOOL ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604629",
            "telephone_number": "985-868-1540",
            "fax_number": "985-873-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SCHOOL ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604691",
            "telephone_number": "985-868-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 E Lowry Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307195",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "fax_number": "303-344-1922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "393 E Town St Ste 116",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154799",
            "country_code": "US",
            "telephone_number": "614-566-9108",
            "fax_number": "614-566-8188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 E State St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154354",
            "country_code": "US",
            "telephone_number": "614-566-8073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Maryland Dr",
            "address_purpose": "LOCATION",
            "city": "Luling",
            "state": "LA",
            "postal_code": "700702163",
            "country_code": "US",
            "telephone_number": "985-868-1540",
            "fax_number": "985-873-2968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13554 Highway 3235",
            "address_purpose": "LOCATION",
            "city": "LaRose",
            "state": "LA",
            "postal_code": "703733203",
            "country_code": "US",
            "telephone_number": "985-798-7763",
            "fax_number": "985-873-2968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1216 N Victor II Blvd",
            "address_purpose": "LOCATION",
            "city": "Morgan City",
            "state": "LA",
            "postal_code": "703801382",
            "country_code": "US",
            "telephone_number": "985-384-7001",
            "fax_number": "985-873-2968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Dutchmans Pkwy Ste 215",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053343",
            "country_code": "US",
            "telephone_number": "502-721-8288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEWILLIAGER",
        "first_name": "TYLER",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-25",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "MD346187",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "282269",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "POD.0000876",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "282269",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.