Individual provider Active NPI

Stephen E Higgins, MD

  • Ophthalmology Physician
  • Portage, MI
National Provider Identifier
1235104845
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301405954 Issued in MI
Practice address
3142 W Centre Ave
Portage, MI 49024-4860
Phone
(269) 329-5870
Fax
(269) 329-5865
NPI assigned
Feb 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301405954 MI Primary

Addresses

Primary practice location

3142 W Centre Ave
Portage, MI 49024-4860

Mailing address

3142 W Centre Ave
Portage, MI 49024-4860
Phone (269) 329-5870

Other identifiers 1

IdentifierTypeStateIssuer
2669516MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shiggins@kopc.intellechartdirect.net Health Information Exchange (HIE)

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
I20120222000458 MI Practitioner - Ophthalmology 9739133364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301405954MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo Ophthalmology PC Ophthalmology CurrentSince Jun 1, 1987 Accepting new patients

Locations

3412 W Centre Ave
Portage, MI 49024
Phone (269) 329-5860

Interoperability endpoints

  • Direct secure messaging: shiggins@kopc.intellechartdirect.net

Organizations & group practices 1

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": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1235104845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244860",
            "telephone_number": "269-329-5870",
            "fax_number": "269-329-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244860",
            "telephone_number": "269-329-5870",
            "fax_number": "269-329-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301405954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2669516",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shiggins@kopc.intellechartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3142 W Centre Ave",
            "city": "Portage",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490244860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.