Tyler Bold
NPI 1063850543ActiveIndividual· Internal Medicine, Infectious Disease· Minneapolis, MN
Internal Medicine, Infectious Disease in Minneapolis, Minnesota, trained at New York University School of Medicine (class of 2013). Enrolled in Medicare as practitioner - infectious disease.
Overview
| NPI | 1063850543 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 6, 2013 |
| Last updated in NPPES | Sep 18, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | 64452 | MN |
| Internal Medicine, Infectious Disease | 207RI0200X | 265066 | MA |
| Internal Medicine | 207R00000X | 255586 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Infectious Disease (MN) |
|---|
Education and affiliations
| Medical school | New York University School of Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Infectious Disease |
| Secondary specialties | Internal Medicine |
Medical group
- Fairview Express CareMinneapolis, MN · 1,911 clinicians
Hospital affiliation
- M Health Fairview University of Mn Medical CenterMinneapolis, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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