Individual provider Active NPI

Tyler Randall Krummenacher, M.D.

  • Orthopaedic Hand Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1851621460
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
2015021550 Issued in MO
Practice address
845 N New Ballas CT
Suite 200
Saint Louis, MO 63141-7134
Phone
(314) 983-4700
Fax
(314) 692-9862
NPI assigned
Jan 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 2015021550 MO Primary

Addresses

Primary practice location

845 N New Ballas CT
Suite 200
Saint Louis, MO 63141-7134

Mailing address

12639 Old Tesson Rd
Suite 115
Saint Louis, MO 63128-2786
Phone (314) 849-0311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150807013471 MO Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 4183938970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Saint Louis University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint Health LLCGroup PAC ID 2567695893, 12 clinicians

Practice addresses (Care Compare)

633 Emerson Rd
Suite 100
Creve Coeur, MO 63141-6739
Phone (314) 991-2013

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015021550MOMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Health LLC CurrentSince Mar 1, 2018 Accepting new patients

Locations

633 Emerson Rd
Ste 20
Saint Louis, MO 63141
Phone (314) 325-3068

633 Emerson Rd
Saint Louis, MO 63141
Phone (314) 872-7100

633 Emerson Rd
Ste 100
Saint Louis, MO 63141
Phone (314) 872-7744

633 Emerson Rd
Ste 10
Saint Louis, MO 63141
Phone (314) 991-2150

992 Wentzville Pkwy
Wentzville, MO 63385
Phone (314) 991-4342

Interoperability endpoints

  • Direct secure messaging: tkrummen@motionortho.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.

Hospital & facility affiliations 2

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": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1851621460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "address_2": "SUITE 115",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "314-849-0311",
            "fax_number": "314-849-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N NEW BALLAS CT",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417134",
            "telephone_number": "314-983-4700",
            "fax_number": "314-692-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMMENACHER",
        "first_name": "TYLER",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MO",
            "license": "2015021550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.