NPIMap

Individual provider Active NPI

Tyler George Gasser, M.D.

  • Neuroradiology Physician
  • Boise, ID
National Provider Identifier
1427202373
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
155432 Issued in CA
Practice address
190 E Bannock St
Boise, ID 83712-6241
Phone
(208) 381-2094
NPI assigned
Nov 5, 2008
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 155432 CA Primary
Diagnostic Radiology Physician 2085R0202X 49037 AZ

Addresses

Primary practice location

190 E Bannock St
Boise, ID 83712-6241

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2094

Other identifiers 1

IdentifierTypeStateIssuer
1427202373MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180921001615 CA Practitioner - Diagnostic Radiology 6608091145 Reassigns benefits to 5 organizations
I20240612004440 ID Practitioner - Diagnostic Radiology 6608091145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wake Forest University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians
Boise Radiology Group PLLCGroup PAC ID 9638153257, 64 clinicians
Weiser Valley Hospital DistrictGroup PAC ID 5294704276, 60 clinicians

Practice addresses (Care Compare)

1510 E Herndon Ave
Suite 110
Fresno, CA 93720-3333
Phone (559) 450-6742

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2094

645 E 5TH St
Weiser, ID 83672-2202
Phone (208) 549-3152

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.21

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as group
Quality
63.43
Promoting interoperability
98
Improvement activities
40
Cost
77.49

Merit-based Incentive Payment System (MIPS)

Final score
93.94 of 100Reported as group
Quality
92.87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155432CAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weiser Valley Hospital District CurrentSince Sep 1, 2024 Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 28, 2018 Accepting new patients
Saint Agnes Medical Foundation CurrentSince Jan 29, 2024 Accepting new patients
Weiser Valley Hospital District Neuroradiology CurrentSince Sep 1, 2024 Accepting new patients
Forefront Radiology Medical Group PC Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
Boise Radiology Group PLLC Neuroradiology CurrentSince Jun 30, 2024 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Aug 28, 2018 Accepting new patients

Locations

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1510 E Herndon Ave
Ste 110
Fresno, CA 93720
Phone (559) 450-6742

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

7202 N Millbrook Ave
Ste 206
Fresno, CA 93720
Phone (559) 450-2300

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

701 E Parkcenter Blvd
Boise, ID 83706
Phone (208) 381-6400

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18604/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tgasser2712294@direct.trinity-health.org

Organizations & group practices 9

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 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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1427202373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSER",
        "first_name": "TYLER",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "155432",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "49037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427202373",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.