Individual provider Active NPI

Tyler Mingo, MD

  • Otolaryngology Physician
  • Edina, MN
National Provider Identifier
1386030880
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
67480 Issued in MN
Practice address
7300 France Ave S Ste 420
Edina, MN 55435-4504
Phone
(952) 221-8115
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 67480 MN Primary

Addresses

Primary practice location

7300 France Ave S Ste 420
Edina, MN 55435-4504

Mailing address

7300 France Ave S Ste 420
Edina, MN 55435-4504
Phone (952) 221-8115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20200812003306 MN Practitioner - Otolaryngology 9234449778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Minnesota Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ear, Nose, and Throat Clinic and Hearing Center PAGroup PAC ID 3072518992, 10 clinicians

Practice addresses (Care Compare)

7300 France Ave S
Suite 420
Edina, MN 55435-4504
Phone (952) 832-5252

Hospital & facility affiliations

  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • New Ulm Medical Center Hospital, New Ulm, MN, CCN 241378

Merit-based Incentive Payment System (MIPS)

Final score
76.89 of 100Reported as group
Quality
72.65
Promoting interoperability
66
Improvement activities
40
Cost
78.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Ear, Nose and Throat Clinic and Hearing Center, P.a. Otolaryngology CurrentSince May 21, 2020 Accepting new patients
Evms Academic Physicians and Surgeons Health Services Foundation Otolaryngology Past Accepting new patients

Locations

7300 France Ave S
Ste 420
Minneapolis, MN 55435
Phone (952) 746-7533

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1386030880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S STE 420",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354504",
            "telephone_number": "952-221-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S STE 420",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354504",
            "telephone_number": "952-221-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGO",
        "first_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "67480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.