Individual provider Active NPI

Tyler Quin Ruch, MD

  • Psychiatry Physician
  • Zionsville, IN
National Provider Identifier
1386207983
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01096916A Issued in IN
Practice address
10801 N Michigan Rd Ste 240
Zionsville, IN 46077-7845
Phone
(502) 732-9550
NPI assigned
Apr 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 01096916A IN Primary

Addresses

Primary practice location

10801 N Michigan Rd Ste 240
Zionsville, IN 46077-7845

Mailing address

10801 N Michigan Rd Ste 240
Zionsville, IN 46077-7845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250821000230 IN Practitioner - Psychiatry 5496137986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Scottsdale, AZ 85251-7630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01096916AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Behavioral Health LLC Single Specialty CurrentSince Jul 21, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

7300 E Indiana St
Ste 103
Evansville, IN 47715
Phone (812) 401-8008

10801 N Michigan Rd
Ste 240
Zionsville, IN 46077
Phone (317) 558-0630

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.tylerruch@140099.advancedmd-direct.com

Organizations & group practices 1

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1386207983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 N MICHIGAN RD STE 240",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 N MICHIGAN RD STE 240",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777845",
            "telephone_number": "502-732-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCH",
        "first_name": "TYLER",
        "middle_name": "QUIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01096916A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.