Individual provider Active NPI

Allison Elizabeth Shimmel

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1134819675
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301517465 Issued in MI
Practice address
13210 E Jefferson Ave
Detroit, MI 48215-2704
Phone
(313) 335-3444
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301517465 MI Primary

Addresses

Primary practice location

13210 E Jefferson Ave
Detroit, MI 48215-2704

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone (773) 702-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230713001140 IL Order and Referring Only - Family PracticePractitioner - Family Practice 6709246432

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Toledo College of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1395 NW 167TH St
Miami, FL 33169-5710

2650 Ridge Ave
Suite 1304
Evanston, IL 60201-1700

2650 Ridge Ave
Suite 1304
Evanston, IL 60201-1797

496 Lincoln Rd
Grosse Pointe, MI 48230-1609

5841 S Maryland Ave
Chicago, IL 60637-1443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Physicians Group of Michigan, PLLC CurrentSince Jul 1, 2026 Accepting new patients
Dedicated Physicians Group of Michigan PLLC CurrentSince Jul 1, 2026 Accepting new patients

Locations

13210 E Jefferson Ave
Detroit, MI 48215
Phone (313) 335-3444

Interoperability endpoints

  • Direct secure messaging: ashimmel644737@direct.ochin.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1134819675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HARVESTER DR STE 110",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276686",
            "telephone_number": "773-702-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13210 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152704",
            "telephone_number": "313-335-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMMEL",
        "first_name": "ALLISON",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301517465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.