Individual provider Active NPI

Tyler Steven Olson, MD

  • Family Medicine Physician
  • Johnston, IA
National Provider Identifier
1326575317
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-45422 Issued in IA
Practice address
5501 NW 86TH St Ste 300
Johnston, IA 50131-1810
Phone
(515) 875-9035
Fax
(515) 875-9036
NPI assigned
May 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-10868 IA
Family Medicine Physician 207Q00000X MD-45422 IA Primary

Addresses

Primary practice location

5501 NW 86TH St Ste 300
Johnston, IA 50131-1810

Mailing address

PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255

Other names 1

  • Dr. Tyler Steven Olson Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tylerolson@tic.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20190124001504 IA Practitioner - Family Practice 0547530487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

5501 NW 86TH St
Suite 300
Johnston, IA 50131-1810
Phone (515) 875-9100

Hospital & facility affiliations

  • Wesley Life Home Health Home health agency, Urbandale, IA, CCN 167295
  • Unitypoint at Home Home health agency, Urbandale, IA, CCN 167148
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Brio of Johnston, LLC Nursing home, Johnston, IA, CCN 165624

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions16
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-45422IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Iowa Clinic PC Family Medicine CurrentSince Aug 3, 2020 Accepting new patients
The Iowa Clinic, PC CurrentSince Aug 3, 2020 Accepting new patients

Locations

5501 NW 86th St
Ste 300
Johnston, IA 50131
Phone (515) 402-2829

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255

Organizations & group practices 2

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 6

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": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1326575317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9255",
            "fax_number": "515-875-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 NW 86TH ST STE 300",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311810",
            "telephone_number": "515-875-9035",
            "fax_number": "515-875-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TYLER",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-10868",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-45422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tylerolson@tic.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5501 NW 86th St Ste 300",
            "city": "Johnston",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501311810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "OLSON",
            "middle_name": "STEVEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.