Active NPI
Matthew Ryan Tukel
- Ophthalmology Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301513029
- Practice address
- 12631 E 17TH Ave
Aurora, CO 80045-2527 - Phone
- (303) 724-1784
- NPI assigned
- Apr 4, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301513029 | MI | Primary |
Addresses
Primary practice location
12631 E 17TH Ave
Aurora, CO 80045-2527
Mailing address
12631 East 17TH Place
Mailstop B177
Aurora, CO 80045
Phone (303) 724-1784
Other practice location 1
3535 W 13 Mile Rd Ste 555
Royal Oak, MI 48073-6770
Phone (248) 551-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mtukel3350824@epic00.corewelldirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Ophthalmology
- Education
- Wayne State University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28100 Grand River Ave
Farmington Hills, MI 48336-5970
29201 Telegraph Rd
Suite 324
Southfield, MI 48034-7646
Phone (248) 357-5100
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058
4717 Saint Antoine St
Detroit, MI 48201-1423
Phone (313) 577-8900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| University Physician Group | Ophthalmology | Current | Accepting new patients |
| Consultants in Ophthalmic & Facial Plastic Surgery | Ophthalmology | Current | Accepting new patients |
Locations
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
4717 Saint Antoine St
Detroit, MI 48201
Phone (313) 577-7614
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020
29201 Telegraph Rd
Ste 324
Southfield, MI 48034
Phone (248) 357-5100
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Interoperability endpoints
- matthew.tukel.1@19711.direct.athenahealth.com
- mtukel3350824@epic00.corewelldirect.org
Organizations & group practices 3
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.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Ophthalmology Physician
- Southfield, MI
- NPI 1144256777
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1669051090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12631 EAST 17TH PLACE",
"address_2": "MAILSTOP B177",
"city": "AURORA",
"state": "CO",
"postal_code": "80045",
"telephone_number": "303-724-1784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12631 E 17TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452527",
"telephone_number": "303-724-1784"
}
],
"practiceLocations": [
{
"address_1": "3535 W 13 Mile Rd Ste 555",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736770",
"country_code": "US",
"telephone_number": "248-551-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUKEL",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-04",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301513029",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mtukel3350824@epic00.corewelldirect.org",
"affiliation": "N",
"address_1": "3535 W 13 Mile Rd Ste 555",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.