MRS. MINI M TOMMY NP
NPI 1407149420
Nurse Practitioner - Family in Troy, MI

Q: What is Mini Tommy's NPI number?

The NPI number for Mini Tommy is 1407149420. It was assigned to this individual provider in the NPPES registry on May 24, 2011. The provider is also known as Ms. Mini Mary Mathews.

Q: What is Mini Tommy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mini Tommy was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 24, 2011PECOS Enrolled

4967 CROOKS RD, SUITE 130, TROY, MI 48098(248) 952-1601(248) 952-1614 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Mini M Tommy Np NPPES

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

MRS. MINI M TOMMY NP (NPI 1407149420) is an individual family provider in Troy, Michigan, licensed in Michigan (4704204835) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407149420

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MINI M TOMMYCredential: NP

Location Address4967 CROOKS RD, SUITE 130Troy, MI 48098-5801

Mailing Address4967 Crooks Rd, Suite 130Troy, MI 48098-5801 · (248) 952-1601 · Fax (248) 952-1614

Phone(248) 952-1601

Fax(248) 952-1614

Sole ProprietorYes

Enumeration DateMay 24, 2011

Last NPPES UpdateAugust 26, 2015

✔ NPI 1407149420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704204835

4967 CROOKS RD, Troy, MI 48098

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Other Names 1

Former Name (1)Ms. Mini Mary Mathews

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mini M Tommy Np 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 48098 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

92%93 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$69.71 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$17.86 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$7.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

VINAY K REDDY M.D.

Hospitalist

4967 CROOKS RD, SUITE 130
TROY, MI 48098

Oakland County (248) 952-1601

MRS. ANDREA MARY SLOAN M.D.

Internal Medicine

4967 CROOKS RD, STE 130
TROY, MI 48098

Oakland County (248) 952-1601

MICHAEL COSTELLO P.A.-C.

Physician Assistant (Medical)

4967 CROOKS RD, SUITE 120
TROY, MI 48098

Oakland County (248) 952-1601

MAUREEN ANN CHRZANOWSKI FNP

Nurse Practitioner (Family)

4967 CROOKS RD, SUITE 130
TROY, MI 48098

Oakland County (248) 952-1601

DR. NADARAJAN JANAKAN M.D.

Internal Medicine

4967 CROOKS RD, STE. 130
TROY, MI 48098

Oakland County (248) 952-1601

DR. MUDASSIR ALI DAIMEE M.D.

Internal Medicine

4967 CROOKS RD, STE 130
TROY, MI 48098

Oakland County (248) 952-1601

JULIE CHRISTINE MACPHERSON DO

Pediatrics

4967 CROOKS RD, STE 250
TROY, MI 48098

Oakland County (248) 654-6499

VERONICA MOLINA TORRES M.D.

Internal Medicine

4967 CROOKS RD, STE. 130
TROY, MI 48098

Oakland County (248) 952-1601

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 Mini Tommy's NPI number?

The NPI number for Mini Tommy is 1407149420. It was assigned to this individual provider in the NPPES registry on May 24, 2011. The provider is also known as Ms. Mini Mary Mathews.

Where is Mini Tommy located?

Mini Tommy practices at 4967 Crooks Rd Suite 130, Troy, MI 48098. The listed phone number is (248) 952-1601.

What is Mini Tommy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mini Tommy enrolled in Medicare?

Yes. Mini Tommy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mini Tommy was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.