Individual provider Active NPI

Tyler Case Nesmith, D.O.

  • Cardiovascular Disease Physician
  • Columbus, OH
National Provider Identifier
1326401654
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101023756 Issued in MI
Practice address
5100 W Broad St
Columbus, OH 43228-1607
Phone
(614) 544-1000
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5101023756 MI Primary

Addresses

Primary practice location

5100 W Broad St
Columbus, OH 43228-1607

Mailing address

4904 W Oraibi Dr
Glendale, AZ 85308-9227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220808001079 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507132271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

1221 S Dr
Mount Pleasant, MI 48858-3257
Phone (989) 772-6811

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

416 Connable Ave
Petoskey, MI 49770-2212
Phone (800) 248-6777

560 W Mitchell St
Petoskey, MI 49770-2274
Phone (231) 330-3585

560 W Mitchell St
Petoskey, MI 49770-2276

560 W Mitchell St
Suite C70
Petoskey, MI 49770-2275
Phone (231) 487-7200

573 N Bradley Hwy
Suite C
Rogers City, MI 49779-1508
Phone (855) 480-2490

740 S Main St
Cheboygan, MI 49721-2220

944 N Ctr Ave
Gaylord, MI 49735-9318
Phone (989) 731-5781

Hospital & facility affiliations

  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
  • McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080
  • Mackinac Straits Hospital and Health Center Hospital, Saint Ignace, MI, CCN 231306
  • Chippewa County War Memorial Hospital Hospital, Sault Ste Marie, MI, CCN 230239
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan CurrentSince Aug 1, 2022 Accepting new patients
McLaren Central Michigan CurrentSince Aug 1, 2022 Accepting new patients
McLaren Medical Group CurrentSince Nov 1, 2023 Accepting new patients
McLaren Medical Group Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
McLaren Central Michigan Past Accepting new patients

Locations

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

944 N Center Ave
Gaylord, MI 49735
Phone (989) 731-5781

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585

573 N Bradley Hwy
Rogers City, MI 49779
Phone (989) 734-2171

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1326401654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 W ORAIBI DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281607",
            "telephone_number": "614-544-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESMITH",
        "first_name": "TYLER",
        "middle_name": "CASE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101023756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.