NPIMap

Individual provider Active NPI

Thomas L. Michalsen, D.O.

  • General Practice Physician
  • Kirkland, IL
National Provider Identifier
1114947876
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036066772 Issued in IL
Practice address
406 S 5TH St
Kirkland, IL 60146-7711
Phone
(815) 522-3301
Fax
(815) 522-3855
NPI assigned
Jul 19, 2006
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 036066772 IL Primary

Addresses

Primary practice location

406 S 5TH St
Kirkland, IL 60146-7711

Mailing address

1713 Oakwood Glen Close
Rockford, IL 61108-7011
Phone (815) 332-4660

Other identifiers 1

IdentifierTypeStateIssuer
036066772OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080718000036 IL Practitioner - General Practice 9739156043 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1848 Daimler Rd
Rockford, IL 61112-1019
Phone (815) 229-2500

2600 Compass Rd
Glenview, IL 60026-8001

406 S 5TH St
Kirkland, IL 60146-7711
Phone (815) 522-3301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
88.33
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Associates Limited General Practice CurrentSince Aug 9, 1994 Accepting new patients
Advanced Mobile Wound Solutions LLC CurrentSince Sep 8, 2025 Accepting new patients
Thomas L. Michalsen DO LTD General Practice CurrentSince Mar 1, 2003 Accepting new patients
Transitions Home Medical Group PLLC CurrentSince Apr 12, 2022 Accepting new patients
Midwest Dysphagia Consultants, LLC Past Accepting new patients
Rockford Cardiology Associates, LTD PastSince Aug 28, 2022 Accepting new patients
Medina Nursing Center, Inc PastSince Dec 5, 2019 Accepting new patients

Locations

1740 S Bell School Rd
Unit B
Cherry Valley, IL 61016
Phone (815) 218-2013

2312 Touhy Ave
Elk Grove Vlg, IL 60007
Phone (816) 637-2200

1848 Daimler Rd
Rockford, IL 61112
Phone (815) 229-2500

Interoperability endpoints

  • Direct secure messaging: thomas.michalsen.p1@direct.thmg.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medina Nursing CenterDurand, IL, CCN 145495 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 5, 2019
Dec 5, 2019
Belvidere Health and RehabBelvidere, IL, CCN 146071 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2015
Aug 1, 2015
PA Peterson at the CitadelRockford, IL, CCN 145751 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 10, 2025
Mar 10, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1114947876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 OAKWOOD GLEN CLOSE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611087011",
            "telephone_number": "815-332-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S 5TH ST",
            "city": "KIRKLAND",
            "state": "IL",
            "postal_code": "601467711",
            "telephone_number": "815-522-3301",
            "fax_number": "815-522-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALSEN",
        "first_name": "THOMAS",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036066772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036066772",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, IL

Sources for this page

Verify at the official NPI Registry.