Active NPI
Tyler C Menke, MD
- Family Medicine Physician
- Decorah, IA
National Provider Identifier
1639304348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39121
- Practice address
- 901 Montgomery St
Decorah, IA 52101-2325 - Phone
- (563) 382-2911
- Fax
- (563) 387-3102
- NPI assigned
- May 26, 2009
- Last updated
- Mar 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39121 | IA | Primary |
Addresses
Primary practice location
901 Montgomery St
Decorah, IA 52101-2325
Mailing address
901 Montgomery St
Decorah, IA 52101-2325
Phone (563) 382-2911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmenke32436@ehrdirect.mayoclinicmsg.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Winneshiek Medical Center
Practice addresses (Care Compare)
112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811
114 Fisher Ave
Ossian, IA 52161-8108
Phone (563) 532-9440
Hospital & facility affiliations
- Winnmed Home Health
- Winnmed Hospice
- Winnmed
- Gundersen Palmer Lutheran Hospital and Clinics
- Regional Health Services of Howard County
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39121 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winneshiek Medical Center | Current | Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients | |
| Winneshiek Medical Center | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Family Medicine | Past | Accepting new patients |
Locations
901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
Interoperability endpoints
- tmenke114773@uihcdirect.org
- tmenke32436@ehrdirect.mayoclinicmsg.org
Organizations & group practices 4
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.
-
dba WinnMed Decorah Clinic
- Multi-Specialty Clinic/Center
- Decorah, IA
- NPI 1992854863
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gundersen Palmer Lutheran Hospital and Clinics
- Critical Access Hospital
- West Union, IA
- NPI 1598765398
-
- Critical Access Hospital
- Cresco, IA
- NPI 1417991316
-
dba WinnMed Hospice
- Community Based Hospice Care Agency
- Decorah, IA
- NPI 1225186638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1639304348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MONTGOMERY ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012325",
"telephone_number": "563-382-2911",
"fax_number": "563-382-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MONTGOMERY ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521012325",
"telephone_number": "563-382-2911",
"fax_number": "563-387-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENKE",
"first_name": "TYLER",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-26",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "39121",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmenke32436@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "901 Montgomery St",
"city": "Decorah",
"state": "IA",
"country_code": "US",
"postal_code": "521012325",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.