Individual provider Active NPI

Tyler James Zimmermann, DPM

  • Foot & Ankle Surgery Podiatrist
  • Livonia, MI
National Provider Identifier
1740774751
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400397 Issued in MI
Practice address
37595 7 Mile Rd Ste 370
Livonia, MI 48152-1003
Phone
(734) 542-9305
NPI assigned
Jun 22, 2018
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400397 MI Primary

Addresses

Primary practice location

37595 7 Mile Rd Ste 370
Livonia, MI 48152-1003

Mailing address

1974 Ridgemont Rd
Grosse Pointe Woods, MI 48236-1336
Phone (701) 595-1863

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220415000264 MI Practitioner - Podiatry 6204184617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Healthcare Associates, PCGroup PAC ID 5294705059, 8 clinicians

Practice addresses (Care Compare)

26850 Providence Pkwy
Suite 502
Novi, MI 48374-1267
Phone (248) 258-0001

37595 Seven Mile Rd
Suite 370
Livonia, MI 48152-1003
Phone (734) 542-9305

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue80
Removal of skin lesions64
Removal of nail tissue86
Removal or shaving of skin growth26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Healthcare Associates P.C. Foot & Ankle Surgery CurrentSince May 1, 2022 Accepting new patients
Foot Healthcare Associates, PC Foot & Ankle Surgery CurrentSince May 1, 2022 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients

Locations

32270 Telegraph Rd
Ste 250
Bingham Farms, MI 48025
Phone (248) 258-0001

1225 S Latson Rd
Ste 320
Howell, MI 48843
Phone (248) 258-0001

37595 7 Mile Rd
Ste 370
Livonia, MI 48152
Phone (248) 258-0001

26850 Providence Pkwy
Ste 502
Novi, MI 48374
Phone (248) 258-0001

Interoperability endpoints

  • Direct secure messaging: tyler.zimmermann.1@11960.direct.athenahealth.com
  • Direct secure messaging: tzimmermann526472@direct.hfhs.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.

Hospital & facility affiliations 4

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1740774751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 RIDGEMONT RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361336",
            "telephone_number": "701-595-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD STE 370",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521003",
            "telephone_number": "734-542-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.