Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Tyler Bonkowski's specialty?

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

Q: 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 37 days 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.

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: August 16, 2026.

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

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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.

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)