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

Tyler Lee Alderson, MD

Individual provider Cardiovascular Disease Physician · NPI 1639521750

Tyler Lee Alderson, MD is a Cardiac Electrophysiology in Jefferson City, Missouri. Qualified in 2016, 10 years ago. Practices with SSM Regional Health Services, a 166-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
Specialties on file
2
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

3501 W Truman Blvd # A
Jefferson City, MO 65109-0514
Phone: (573) 636-0635
Fax: (573) 659-4685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 2024028240 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 2024028240 (MO)

Record details

NPI number1639521750
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2016
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ssm Regional Health Services — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jefferson City