Active NPI
Michael Anthony Tilson, M.D.
- Family Medicine Physician
- Monroe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301117500
- Practice address
- 419 S Telegraph Rd
Monroe, MI 48161-1611 - Phone
- (734) 241-1100
- Fax
- (734) 241-5114
- NPI assigned
- May 13, 2016
- Last updated
- Jul 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 4301117500 | MI | Primary |
Addresses
Primary practice location
419 S Telegraph Rd
Monroe, MI 48161-1611
Mailing address
419 S Telegraph Rd
Monroe, MI 48161-1611
Phone (734) 241-1100
Other practice location 1
650 Stewart Rd
Monroe, MI 48162-4222
Phone (734) 240-8430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801242334 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mtilson171778@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3175 Smith Rd
Lambertville, MI 48144-9434
Phone (734) 856-5494
419 S Telegraph Rd
Monroe Family Medicine
Monroe, MI 48161-1611
Phone (734) 241-5114
650 Stewart Rd
Monroe, MI 48162-4222
Phone (734) 240-8430
905 N Macomb St
Suite 2
Monroe, MI 48162-3084
Phone (734) 242-1899
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301117500 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Monroe Physicians | Family Medicine | Current | Accepting new patients |
| Mercy Memorial Hospital Corporation | Current | Accepting new patients | |
| Mercy Memorial Hospital Corporatio | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494
1704 S Custer Rd
Monroe, MI 48161
Phone (734) 241-1100
419 S Telegraph Rd
Monroe, MI 48161
Phone (734) 241-1100
650 Stewart Rd
Monroe, MI 48162
Phone (734) 240-4594
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
905 N Macomb St
Ste 2
Monroe, MI 48162
Phone (734) 242-1899
7825 N Dixie Hwy
#101
Newport, MI 48166
Phone (734) 240-4580
7825 N Dixie Hwy
Ste 101
Newport, MI 48166
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
Interoperability endpoints
- mtilson171778@direct.promedica.org
- mtilson171778@epicdirect.promedica.org
Organizations & group practices 4
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.
-
dba Promedica Monroe Regional Hospital
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elara Caring
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
dba Promedica Monroe Regional Hospital
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
dba Monroe Cancer Center
- Specialist
- Monroe, MI
- NPI 1376997551
Hospital
-
- Home Health Agency
- Monroe, MI
- NPI 1336414325
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1801242334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 S TELEGRAPH RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481611611",
"telephone_number": "734-241-1100",
"fax_number": "734-241-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 S TELEGRAPH RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481611611",
"telephone_number": "734-241-1100",
"fax_number": "734-241-5114"
}
],
"practiceLocations": [
{
"address_1": "650 Stewart Rd",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "MI",
"postal_code": "481624222",
"country_code": "US",
"telephone_number": "734-240-8430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TILSON",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-13",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301117500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801242334",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mtilson171778@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.