Individual provider Active NPI

Tyler Drake Menge, MD

  • Dermatopathology (Pathology) Physician
  • Roseville, MN
National Provider Identifier
1922461235
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
4301501739 Issued in MI
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

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
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
Tareen Dermatology PAGroup PAC ID 8123288156, 45 clinicians
Curtis T. Thompson, M.D. and Associates, PLLCGroup PAC ID 8921033945, 13 clinicians
Dermatology and Cosmetic Center PLLCGroup PAC ID 0244600807, 9 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis T. Thompson, M.D. & Associates, PLLC Dermatopathology CurrentSince Jul 1, 2021 Accepting new patients
Dermatology & Cosmetic Center PLLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Tareen Dermatology, P.a. Dermatology CurrentSince Oct 1, 2025 Accepting new patients
Dermatology & Cosmetic Center of Bloomfield Hills PLLC Dermatology CurrentSince Jan 5, 2026 Accepting new patients
Cta Oral Pathology Consultants of Michigan, PLLC CurrentSince Mar 30, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.