Tyler Pew, DO
NPI 1063152080 · Internal Medicine Physician · Logan, UT
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Pew, DO is a Internal Medicine Physician provider in Logan, UT (NPI 1063152080).
Provider details
- NPI number
- 1063152080
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 14217639-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 500 W Fort St # 111rBoise, ID 83702-4501Phone: (208) 422-1314
Registry dates
- Enumerated
- 2022-03-29
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Frequently asked questions
- What is Tyler Pew's NPI number?
- Tyler Pew's National Provider Identifier (NPI) is 1063152080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Pew's specialty?
- Tyler Pew is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tyler Pew located?
- Tyler Pew's practice location on file with NPPES is 1350 N 500 E, Logan, UT 84341-2400.
- What is Tyler Pew's phone number?
- The practice phone number listed in the NPPES registry for Tyler Pew is (435) 792-1980.
- Does Tyler Pew accept Medicare?
- Tyler Pew is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Pew's NPI active?
- Yes — Tyler Pew's NPI (1063152080) is active in the NPPES registry as of the last update on 2025-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.