Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler G Fuller, MD

Individual provider Family Medicine Physician · NPI 1992455885

Tyler G Fuller, MD is a Family Practice in Peekskill, New York. Qualified in 2022, 4 years ago. Practices with Sun River Health Inc, a 242-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1037 Main St
Peekskill, NY 10566-2913
Phone: (914) 734-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 338045 (NY)

Record details

NPI number1992455885
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address1037 Main St, Peekskill, NY 10566-2913

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sun River Health Inc. — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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