Active NPI
David A Shifrin, M.D.
- Surgery Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301083529
- Practice address
- 221 Michigan St NE Ste 200 a
Grand Rapids, MI 49503-2543 - Phone
- (616) 391-1405
- NPI assigned
- Apr 17, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301083529 | MI | Primary |
Addresses
Primary practice location
221 Michigan St NE Ste 200 a
Grand Rapids, MI 49503-2543
Mailing address
80 Campau Cir NW
Grand Rapids, MI 49503-2659
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301083529 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Shifrin Group LLC | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Surgery | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Chicago Cosmetic Surgery Institute | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Das Group LLC | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944
135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300
29373 Network Pl
Chicago, IL 60673
680 N Lake Shore Dr
Ste 1425
Chicago, IL 60611
Phone (312) 480-1387
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210
4400 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-8000
10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500
Interoperability endpoints
- dshifrin135254@uihealth.direct-ci.com
Organizations & group practices 10
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 Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Ambulatory Surgical Clinic/Center
- Chicago, IL
- NPI 1407329501
-
- Plastic Surgery Physician
- Chicago, IL
- NPI 1821439951
-
dba Advocate Christ Medical Group
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Ophthalmology Physician
- Olympia Fields, IL
- NPI 1184904526
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Surgery Physician
- Chicago, IL
- NPI 1265651392
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427273010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 CAMPAU CIR NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MICHIGAN ST NE STE 200 A",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032543",
"telephone_number": "616-391-1405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIFRIN",
"first_name": "DAVID",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301083529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.