Individual provider Active NPI

Tyler Jordan Sauerbeck, DO

  • Surgery Physician
  • Saint Clair Shores, MI
National Provider Identifier
1831714088
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5151015959 Issued in MI
Practice address
29000 Little Mack Ave Ste a
Saint Clair Shores, MI 48081-3018
Phone
(586) 343-8717
Fax
(586) 343-8773
NPI assigned
Jun 13, 2020
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 5151015959 MI Primary

Addresses

Primary practice location

29000 Little Mack Ave Ste a
Saint Clair Shores, MI 48081-3018

Mailing address

29000 Little Mack Ave Ste a
Saint Clair Shores, MI 48081-3018
Phone (586) 343-8717

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001003521 MI Practitioner - General Surgery 7315328721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio University, College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amer Alame MD PCGroup PAC ID 6204052228, 6 clinicians

Practice addresses (Care Compare)

2035 Monroe St
Dearborn, MI 48124-2920
Phone (313) 333-7372

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151015959MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amer Alame MD PC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients

Locations

2035 Monroe St
Dearborn, MI 48124
Phone (313) 228-0909

29000 Little Mack Ave
Ste A
St Clr Shores, MI 48081
Phone (586) 343-8717

Interoperability endpoints

  • Direct secure messaging: tsauerbeck1254564@epic00.corewelldirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1831714088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29000 LITTLE MACK AVE STE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813018",
            "telephone_number": "586-343-8717",
            "fax_number": "586-343-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 LITTLE MACK AVE STE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813018",
            "telephone_number": "586-343-8717",
            "fax_number": "586-343-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUERBECK",
        "first_name": "TYLER",
        "middle_name": "JORDAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-13",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "5151015959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.