Active NPI
Tyler Drake Menge, MD
- Dermatopathology (Pathology) Physician
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 4301501739
- Practice address
- 2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306 - Phone
- (651) 633-6883
- NPI assigned
- Apr 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4301501739 | MI | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 4301501739 | MI | Primary |
Addresses
Primary practice location
2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Mailing address
4444 W Bristol Rd Ste 150
Flint, MI 48507-3161
Phone (833) 322-3376
Other practice location 1
2651 Hillcrest Dr Ste 304
Hudson, WI 54016-9914
Phone (651) 633-6883
Other practice location 2
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Phone (734) 769-7100
Other practice location 3
4444 W Bristol Rd Ste 150
Flint, MI 48507-3161
Phone (833) 322-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MI, MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210728002491 | OR | Practitioner - Pathology | 2668768789 | Reassigns benefits to 1 organization |
| I20240723003744 | MI | Practitioner - Pathology | 2668768789 | Reassigns benefits to 3 organizations |
| I20251017001596 | MN | Practitioner - Dermatology | 2668768789 | Reassigns benefits to 1 organization |
| I20251201001636 | WI | Practitioner - Dermatology | 2668768789 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2651 Hillcrest Dr
Suite 304
Hudson, WI 54016-9914
Phone (651) 633-6883
2720 Fairview Ave N
Suite 200
Roseville, MN 55113-1306
Phone (651) 633-6883
3135 S State St
Suite 309
Ann Arbor, MI 48108-1653
Phone (503) 906-7300
4444 W Bristol Rd
Suite 150
Flint, MI 48507-3161
Phone (833) 322-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curtis T. Thompson, M.D. & Associates, PLLC | Dermatopathology | Current | Accepting new patients |
| Dermatology & Cosmetic Center PLLC | Dermatology | Current | Accepting new patients |
| Tareen Dermatology, P.a. | Dermatology | Current | Accepting new patients |
| Dermatology & Cosmetic Center of Bloomfield Hills PLLC | Dermatology | Current | Accepting new patients |
| Cta Oral Pathology Consultants of Michigan, PLLC | Current | Accepting new patients | |
| Tareen Dermatology, PA | Past | Accepting new patients |
Locations
3131 S State St
Ste 309
Ann Arbor, MI 48108
Phone (503) 245-8219
3135 S State St
Ste 309
Ann Arbor, MI 48108
39533 Woodward Ave
Ste 155
Bloomfield Hills, MI 48304
Phone (833) 322-3376
39533 Woodward Ave
#155
Bloomfield Hills, MI 48304
Phone (947) 500-3376
4444 W Bristol Rd
Ste 150
Flint, MI 48507
Phone (810) 230-9500
5097 Miller Rd
#1
Flint, MI 48507
Phone (810) 422-5145
1185 Town Centre Dr
Ste 101
Eagan, MN 55123
Phone (651) 209-3600
1575 20th St NW
Ste 201
Faribault, MN 55021
4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300
17305 Cedar Ave S
Ste 230
Lakeville, MN 55044
Phone (507) 301-3412
2945 Hazelwood St
Ste 230
Maplewood, MN 55109
9766 Fallon Ave NE
Ste 102
Monticello, MN 55362
Phone (763) 272-1500
2770 Fairview Ave N
Roseville, MN 55113
2720 Fairview Ave N
#200
Saint Paul, MN 55113
Phone (651) 663-6883
707 Lundorff Dr
#1
Sandstone, MN 55072
Phone (320) 245-2250
3221 32nd Ave S
Ste 700
Grand Forks, ND 58201
Phone (701) 335-4380
9750 SW Nimbus Ave
Beaverton, OR 97008
12254 SW Garden Pl
Tigard, OR 97223
Phone (971) 280-6738
2651 Hillcrest Dr
Ste 304
Hudson, WI 54016
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00340
Organizations & group practices 6
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.
-
- Dermatopathology (Pathology) Physician
- Beaverton, OR
- NPI 1861533481
Dermatopathology, MI, OR
-
- Dermatology Physician
- Bloomfield Hills, MI
- NPI 1073479945
Dermatology, MI
-
- Oral and Maxillofacial Pathology Dentistry
- Ann Arbor, MI
- NPI 1366244550
-
- Non-Pharmacy Dispensing Site
- Maplewood, MN
- NPI 1851856504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1922461235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 W BRISTOL RD STE 150",
"city": "FLINT",
"state": "MI",
"postal_code": "485073161",
"telephone_number": "833-322-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 FAIRVIEW AVE N STE 200",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131306",
"telephone_number": "651-633-6883"
}
],
"practiceLocations": [
{
"address_1": "2651 Hillcrest Dr Ste 304",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540169914",
"country_code": "US",
"telephone_number": "651-633-6883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 Fuller Rd",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481052303",
"country_code": "US",
"telephone_number": "734-769-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4444 W Bristol Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485073161",
"country_code": "US",
"telephone_number": "833-322-3376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENGE",
"first_name": "TYLER",
"middle_name": "DRAKE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-04",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301501739",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "MI",
"license": "4301501739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.