NPIMap

Individual provider Active NPI

Tyler J Grunow, MD

  • Family Medicine Physician
  • Oregon, WI
National Provider Identifier
1699237479
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
73997-20 Issued in WI
Practice address
137 S Main St
Oregon, WI 53575-1534
Phone
(608) 835-5588
Fax
(608) 835-8026
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 73997-20 WI Primary

Addresses

Primary practice location

137 S Main St
Oregon, WI 53575-1534

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgrunow826983@direct.uwhealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916001437 WI Practitioner - Family Practice 8729312905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

137 S Main St
Oregon, WI 53575-1534
Phone (608) 835-5588

Hospital & facility affiliations

  • Aveanna Home Health Home health agency, Madison, WI, CCN 527135
  • SSM Health at Home Home Health-Wisconsin Home health agency, Madison, WI, CCN 527184
  • Interim Healthcare of Wisconsin Home health agency, Madison, WI, CCN 527320
  • Agrace Hospicecare Hospice, Madison, WI, CCN 521505
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Stoughton Hospital Hospital, Stoughton, WI, CCN 521343
  • Skaalen Nursing and Rehabilitation Center Nursing home, Stoughton, WI, CCN 525512

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as group
Quality
87.42
Promoting interoperability
100
Improvement activities
40
Cost
65.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions52
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73997-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 5, 2022 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 5, 2022 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

1121 Bellwest Blvd
Belleville, WI 53508
Phone (608) 424-3384

1100 Delaplaine Ct
Madison, WI 53715
Phone (608) 241-9020

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

137 S Main St
Oregon, WI 53575
Phone (608) 835-5588

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.

Hospital & facility affiliations 9

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1699237479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S MAIN ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751534",
            "telephone_number": "608-835-5588",
            "fax_number": "608-835-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNOW",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "73997-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgrunow826983@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "137 S Main St",
            "city": "Oregon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535751534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oregon, WI

Sources for this page

Verify at the official NPI Registry.