DR. MICHAEL TILLER MD
NPI 1356306658
Surgery - Trauma Surgery in Fort Sam Houston, TX

Active since April 19, 2006PECOS Enrolled
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(202) 425-2103(215) 243-4605 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 13, 2020, Nov 1, 2016 (2 updates tracked since 2016).

About Dr. Michael Tiller Md NPPES

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

DR. MICHAEL TILLER MD (NPI 1356306658) is an individual trauma surgery provider in Fort Sam Houston, Texas, licensed in Michigan (4301075583) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356306658
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameDR. MICHAEL TILLERCredential: MD
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address117 E Lullwood AveSan Antonio, TX 78212-2317 · (202) 425-2103
Fax(215) 243-4605
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateApril 13, 20202 updates tracked since enumeration
NPPES CertifiedApril 13, 2020
NPI 1356306658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in MI · 4301075583
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 4301075583 (MI)
Also ListedSurgeryTaxonomy 208600000X · License MD457338 (PA), 4301075583 (MI)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License MD457338 (PA)
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Other Identifiers 1

Medicaid1356306658DC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael Tiller Md 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.

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.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Michael Tiller's NPI number?

The NPI number for Michael Tiller is 1356306658. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Michael Tiller located?

Michael Tiller practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (202) 425-2103.

What is Michael Tiller's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Michael Tiller enrolled in Medicare?

Yes. Michael Tiller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Tiller was last updated on April 13, 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.