Tyson Roderique, DO
NPI 1487406815 · Student in an Organized Health Care Education/Training Program · Clinton Twp, MI
Enrolled with Medicare as Order and Referring Only - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyson Roderique, DO is a Student in an Organized Health Care Education/Training Program provider in Clinton Twp, MI (NPI 1487406815).
Provider details
- NPI number
- 1487406815
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2024-04-01
- Last updated
- 2024-04-01
- Certified
- 2024-04-01
Frequently asked questions
- What is Tyson Roderique's NPI number?
- Tyson Roderique's National Provider Identifier (NPI) is 1487406815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyson Roderique's specialty?
- Tyson Roderique is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Tyson Roderique located?
- Tyson Roderique's practice location on file with NPPES is 15855 19 Mile Rd, Clinton Twp, MI 48038-3504.
- What is Tyson Roderique's phone number?
- The practice phone number listed in the NPPES registry for Tyson Roderique is (586) 263-2300.
- Does Tyson Roderique accept Medicare?
- Tyson Roderique is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyson Roderique's NPI active?
- Yes — Tyson Roderique's NPI (1487406815) is active in the NPPES registry as of the last update on 2024-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.