Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Tommy Mikkelsen, M.D.

Neurological Surgery Physician in Detroit, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306911045

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Registry record

Entity type Individual (Type 1)

Name Dr. Tommy Mikkelsen

Credential M.D.

Sex Male

Practice address 2799 W Grand Blvd, 2799 West Grand Boulevard, Detroit, MI, 48202

Phone (313) 916-2436

Enumeration date Nov 21, 2006

Last updated in NPPES Mar 31, 2020

Taxonomy & licenses

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License 062472 (MI) Secondary

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 4301062472 (MI) Secondary

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License 4301062472 (MI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
TM062472	Other	-	CHAMPUS-CHAMPUS
700H262230	Other	-	BLUE CROSS-BLUE CROSS
303982210	Medicaid	MI	-
TM062472	Other	-	COMMERCIAL-COMMERCIAL NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Tommy Mikkelsen practice?

The practice location on file with NPPES is in Detroit, MI. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Tommy Mikkelsen?

The National Provider Identifier (NPI) for Tommy Mikkelsen is 1306911045, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-31.