NPPES file of Aug 9, 2026

Tyson Roderique, DO

Student in an Organized Health Care Education/Training Program · Clinton Twp, MI

Tyson Roderique, DO is a student in an organized health care education/training program with a practice address in Clinton Twp, Michigan, and NPI 1487406815, issued on Apr 1, 2024. Check the license with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1487406815
Name
Tyson Roderique
Credential
DO
Primary taxonomy
Student in an Organized Health Care Education/Training Program 390200000X
Practice location
15855 19 Mile RD, Clinton Twp, MI 48038
Phone
(586) 263-2300
Enumerated
Apr 1, 2024
Record last updated
Apr 1, 2024
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 15855 19 Mile RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Wilma Agnello-Dimitrijevic, M.D.Neurology Physician1104865443
  2. Michalina AlbrechtPhysical Therapy Assistant1750963534
  3. Adele Alef, CRNACertified Registered Nurse Anesthetist1801957212
  4. Daniel AmohPhysician Assistant1750734984
  5. Emily Ankenbrandt, NPNurse Practitioner1225427073
  6. Linda Audia, CRNACertified Registered Nurse Anesthetist1376686113

Verify Tyson Roderique in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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90% fewer Medicare Part D claims than the average student in an organized health care education/training program in 2024

19 Medicare Part D claims, against an average of 185 among the 59,748 providers of this specialty who prescribed in Part D.

  1. Tyson Roderique19
  2. Specialty average185

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Tyson Roderique among 8,265 student in an organized health care education/training program records in Michigan

Tyson Roderique, DO is one of 8,265 student in an organized health care education/training program records with a practice address in Michigan. 34% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 43% of them.

  • NPI issued2024 · 43% of these records are older, 39% newer
  • In a Medicare fileYes · 34% of these records are
  • In the CMS Doctors and Clinicians fileNo · 3% of these records are
  • Record last updated2024 · 18% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 390200000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

17 student in an organized health care education/training program records list a practice address in Clinton Twp

They are 17 of the 955 NPPES records with a practice address in Clinton Twp, and 8,265 student in an organized health care education/training program records in Michigan.

The 8 student in an organized health care education/training program records with the nearest ZIP codes

  1. Jacob Best, DOClinton Township, MI 480381821671611
  2. Garrett DeangelisClinton Township, MI 480381184142960
  3. Morgan HuieClinton Township, MI 480381992456552
  4. Samantha JankoClinton Township, MI 480381912456427
  5. Mohamad Makki, DOClinton Township, MI 480381922665314
  6. Yusra MansourClinton Twp, MI 480381497334833
  7. Leah Pearl, DOClinton Township, MI 480381972181170
  8. Ryan Qasawa, D.O.Clinton Township, MI 480381134650831

Common questions

What is Tyson Roderique, DO's NPI number?

Tyson Roderique, DO's National Provider Identifier (NPI) is 1487406815, issued on Apr 1, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Tyson Roderique, DO located?

The NPPES record lists a practice address at 15855 19 Mile RD, Clinton Twp, MI, 48038. Phone: (586) 263-2300. Providers update this record themselves, so call before visiting.

How can I verify Tyson Roderique, DO's license?

Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

How much does Tyson Roderique, DO prescribe under Medicare Part D?

In 2024, Tyson Roderique, DO had 19 Medicare Part D claims; the average among student in an organized health care education/training program prescribers was 185. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.