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

Tyler M Prout, MD

Individual provider Diagnostic Radiology Physician · NPI 1003864125

Tyler M Prout, MD is a Diagnostic Radiology in Madison, Wisconsin. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1997, 29 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
WI
In the registry since
2006
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

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-8340
Fax: (608) 265-6533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 48471 (WI)

Record details

NPI number1003864125
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESMay 27, 2009
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations39 on file with Medicare

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