DR. TOMMY MIKKELSEN M.D.
NPI 1306911045
Neurological Surgery in Detroit, MI

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
2799 W GRAND BLVD, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202(313) 916-2436 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2020, Mar 8, 2019 (2 updates tracked since 2019).

About Dr. Tommy Mikkelsen M.d. NPPES

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

DR. TOMMY MIKKELSEN M.D. (NPI 1306911045) is an individual neurological surgery provider in Detroit, Michigan, licensed in Michigan (4301062472) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1306911045
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. TOMMY MIKKELSENCredential: M.D.
Location Address2799 W GRAND BLVD, 2799 WEST GRAND BOULEVARDDetroit, MI 48202-2608
Mailing Address2799 W Grand Blvd, 2799 West Grand BoulevardDetroit, MI 48202-2608 · (313) 916-2436
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateNovember 21, 2006
Last NPPES UpdateMarch 31, 20202 updates tracked since enumeration
NPPES CertifiedMarch 31, 2020
NPI 1306911045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in MI · 4301062472 Licensed in MI · 062472
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 4301062472 (MI)
2799 W GRAND BLVD, Detroit, MI 48202

Other Identifiers 4

OtherTM062472Champus-champus
Medicaid303982210MI
OtherTM062472Commercial-commercial Number
Other700H262230Blue Cross-blue Cross

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tommy Mikkelsen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820132335
PECOS Enrollment IDI20100222000902
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

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 20

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

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 Tommy Mikkelsen's NPI number?

The NPI number for Tommy Mikkelsen is 1306911045. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Tommy Mikkelsen located?

Tommy Mikkelsen practices at 2799 W Grand Blvd 2799 West Grand Boulevard, Detroit, MI 48202. The listed phone number is (313) 916-2436.

What is Tommy Mikkelsen's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Tommy Mikkelsen enrolled in Medicare?

Yes. Tommy Mikkelsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tommy Mikkelsen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Tommy Mikkelsen 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.

Is Tommy Mikkelsen affiliated with any hospitals?

According to CMS data, Tommy Mikkelsen is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Tommy Mikkelsen was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.