Individual provider Active NPI

David A Shifrin, M.D.

  • Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1427273010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301083529 Issued in MI
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000032 IL Practitioner - Plastic and Reconstructive Surgery 9032269824 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301083529MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Jun 21, 2021 Accepting new patients
Shifrin Group LLC Current Accepting new patients
The Board of Trustees of the University of Illinois Surgery CurrentSince Jun 21, 2021 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 CurrentSince Sep 1, 2010 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Das Group LLC CurrentSince Mar 15, 2012 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Sep 1, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.