Individual provider Active NPI

Tyler James Hille, DPM

  • Podiatrist
  • Albuquerque, NM
National Provider Identifier
1659711133
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD390 Issued in NM
Practice address
4343 Pan American Fwy NE Ste 234
Albuquerque, NM 87107-6834
Phone
(505) 880-1000
Fax
(505) 880-1002
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD390 NM Primary

Addresses

Primary practice location

4343 Pan American Fwy NE Ste 234
Albuquerque, NM 87107-6834

Mailing address

4343 Pan American Fwy NE
Ste 234
Albuquerque, NM 87107-6834
Phone (505) 880-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004002333 NM Practitioner - Podiatry 9436447695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Mexico Foot and Ankle Institute PCGroup PAC ID 8820075484, 6 clinicians

Practice addresses (Care Compare)

4343 Pan American Fwy NE
Suite 234
Albuquerque, NM 87107-6834
Phone (505) 880-1000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions16
Removal of nail tissue980
Removal or shaving of skin growth562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD390NMMDPodiatrist

Interoperability endpoints

  • Direct secure messaging: thille8638@ahs.direct-ci.com
  • Direct secure messaging: thille@nmfootandankle.emadirect.md

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1659711133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 PAN AMERICAN FWY NE",
            "address_2": "STE 234",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076834",
            "telephone_number": "505-880-1000",
            "fax_number": "505-880-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 PAN AMERICAN FWY NE STE 234",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076834",
            "telephone_number": "505-880-1000",
            "fax_number": "505-880-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLE",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "POD390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.