Individual provider Active NPI

Michael Anthony Tilson, M.D.

  • Family Medicine Physician
  • Monroe, MI
National Provider Identifier
1801242334
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301117500 Issued in MI
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1801242334MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190709002941 MI Practitioner - Family Practice 8426340407 Reassigns benefits to 2 organizations

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
Promedica Monroe PhysiciansGroup PAC ID 2365696176, 64 clinicians

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

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301117500MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Monroe Physicians Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Mercy Memorial Hospital Corporation CurrentSince Sep 24, 2019 Accepting new patients
Mercy Memorial Hospital Corporatio CurrentSince Sep 24, 2019 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

  • Direct secure messaging: mtilson171778@direct.promedica.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.