Thomas L. Michalsen, D.O.
Individual provider Active NPI General Practice Physician · Kirkland, IL
NPI 1114947876 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1114947876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 036066772 (IL)
- Practice address
- 406 S 5TH St
Kirkland, IL 60146-7711 - Phone
- (815) 522-3301
- Fax
- (815) 522-3855
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 19
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- 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, LLC
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
- Osf Healthcare Home Care
- Auxilium Healthcare Services, Inc
- Astra Health West
- DMJ Home Health Services, Inc
- United Hospice, Inc
- Mo Chara Hospice LLC
- Osf Hospice
- Sanctuary Hospice
- Unity Hospice of Western Illinois
- Saint Anthony Medical Center
- Uw Health
- Northwestern Medicine Kishwaukee Hospital
- Rochelle Community Hospital
- Elmhurst Memorial Hospital
- Neighbors Health Center
- River Bluff Nursing Home
- Belvidere Health and Rehab
- PA Peterson at the Citadel
- Forest City Rehab & NRSG Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 88.33
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95.85
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Medina Nursing Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Dec 5, 2019 Dec 5, 2019 |
| Belvidere Health and Rehab |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2015 Aug 1, 2015 |
| PA Peterson at the Citadel |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 10, 2025 Mar 10, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080718000036 | IL | Practitioner - General Practice | 9739156043 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Mobile Wound Solutions LLC | Current |
Accepting new patients | |
| Thomas L. Michalsen DO LTD | General Practice | Current |
Accepting new patients |
| Physician Associates Limited | General Practice | Current |
Accepting new patients |
| Transitions Home Medical Group PLLC | Current |
Accepting new patients | |
| Medina Nursing Center, Inc | Past |
Accepting new patients | |
| Rockford Cardiology Associates, LTD | Past |
Accepting new patients | |
| Midwest Dysphagia Consultants, LLC | Past | 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
- thomas.michalsen.p1@direct.thmg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 036066772 | IL | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036066772 | Other | IL | STATE LICENSE |
Other providers in Kirkland, IL
- Heightened Potential Company
- Hiawatha Cusd 426
- Kirkland Community Fire District
- Kishwaukee Counseling PLLC
- William Madsen
- Michelle Platt
- Barbara J Runne
- Simple RX Inc.
- Michelle Dawn Smith
- Thomas L. Michalsen DO LTD
All providers in Kirkland, IL · General Practice Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.