Individual provider Active NPI

Aisha Myshelle Harris, MD

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1558893149
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301501444 Issued in MI
Practice address
432 N Saginaw St Ste 401a
Flint, MI 48502-2013
Phone
(810) 214-0075
NPI assigned
Apr 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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 4301501444 MI Primary

Addresses

Primary practice location

432 N Saginaw St Ste 401a
Flint, MI 48502-2013

Mailing address

432 N Saginaw St Ste 401a
Flint, MI 48502-2013
Phone (810) 214-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 20, 2023 through Sep 20, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301501444MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cimpar, S.C. Past Accepting new patients
Cimpar Consulting, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aharris17961@uihealth.direct-ci.com

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": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1558893149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 N SAGINAW ST STE 401A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485022013",
            "telephone_number": "810-214-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 N SAGINAW ST STE 401A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485022013",
            "telephone_number": "810-214-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "AISHA",
        "middle_name": "MYSHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-01",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301501444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.