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TYLER JOHN BONKOWSKI DO
NPI 1174185904
Internal Medicine - Cardiovascular Disease in Detroit, MI

Active since July 02, 2019PECOS Enrolled
2799 W GRAND BLVD # K14, DETROIT, MI 48202(313) 916-2737 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Jul 15, 2019, Jul 2, 2019 (3 updates tracked since 2019).

About Tyler John Bonkowski Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER JOHN BONKOWSKI DO (NPI 1174185904) is an individual cardiovascular disease provider in Detroit, Michigan, licensed in Michigan (5101026290) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1174185904
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameTYLER JOHN BONKOWSKICredential: DO
Location Address2799 W GRAND BLVD # K14Detroit, MI 48202-2608
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (800) 436-7936
Phone(313) 916-2737
Sole ProprietorNo
Enumeration DateJuly 2, 2019
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1174185904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 5101026290
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5151014105 (MI)
2799 W GRAND BLVD # K14, Detroit, MI 48202
Open in Google Maps ↗

Secondary Practice Location 1

Location 122060 Beech St Ste 200Dearborn, MI 48124-2853 · Phone (313) 228-0505

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler John Bonkowski Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Tyler Bonkowski reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health System
0.1 mi
Plastic Surgery
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1528142858 (313) 916-2600
Henry Ford Wyandotte Hospital
11 mi
Surgery
2070 BIDDLE AVE, SUITE 200
Wyandotte, MI 48192
  • Reassigned Medicare billing, Michigan enrollment
  • 157 clinicians in this Medicare group
NPI 1699102244 (734) 225-9100
Henry Ford Macomb Hospital Corporation
14 mi
Family Medicine
15717 15 MILE RD
Clinton Twp, MI 48035
  • Reassigned Medicare billing, Michigan enrollment
  • 556 clinicians in this Medicare group
NPI 1134265986 (586) 285-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDRO ALEJANDRO ENGEL GONZALEZ MD
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD # K14
DETROIT, MI 48202
Wayne County (800) 436-7936
JENNIFER ANN COWGER MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2799 W GRAND BLVD # K14
DETROIT, MI 48202
Wayne County (313) 916-2966
ALEXANDER CHEN DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2799 W GRAND BLVD # K14
DETROIT, MI 48202
Wayne County (313) 916-0320
BRITTANY S FULLER MD
Internal Medicine (Interventional Cardiology)
2799 W GRAND BLVD # K14
DETROIT, MI 48202
Wayne County (313) 916-2600
AMUDHA PALAIYAN NURSE PRACTITIONER
Nurse Practitioner (Gerontology)
2799 W GRAND BLVD # K14
DETROIT, MI 48202
Wayne County (313) 916-2966
BOBAK TAHER RABBANI MD
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD # K14
DETROIT, MI 48202
Wayne County (313) 916-3887
DANIEL KWASI AMPONSAH
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD # K14
DETROIT, MI 48202
Wayne County (313) 916-2737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Bonkowski's NPI number?

The NPI number for Tyler Bonkowski is 1174185904. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Tyler Bonkowski located?

Tyler Bonkowski practices at 2799 W Grand Blvd # K14, Detroit, MI 48202. The listed phone number is (313) 916-2737.

What is Tyler Bonkowski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Tyler Bonkowski enrolled in Medicare?

Yes. Tyler Bonkowski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tyler Bonkowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Bonkowski reassigns Medicare benefits to 3 organizations: Henry Ford Health System (Detroit, MI), Henry Ford Wyandotte Hospital (Wyandotte, MI) and Henry Ford Macomb Hospital Corporation (Clinton Twp, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Bonkowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Bonkowski accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Tyler Bonkowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Bonkowski was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.