Individual provider Active NPI

Dunya Mary Atisha, MD

  • Plastic and Reconstructive Surgery Physician
  • Troy, MI
National Provider Identifier
1679694400
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
4301081903 Issued in MI
Practice address
1050 Wilshire Dr Ste 100
Troy, MI 48084-1526
Phone
(248) 232-0700
Fax
(248) 232-0700
NPI assigned
Apr 2, 2007
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 4301081903 MI Primary
Plastic and Reconstructive Surgery Physician 2086S0122X ME116674 FL

Addresses

Primary practice location

1050 Wilshire Dr Ste 100
Troy, MI 48084-1526

Mailing address

1921 Lone Pine Rd
Bloomfield Hills, MI 48302-2522
Phone (248) 514-7724

Other practice location 1

43940 Woodward Ave Ste 100
Bloomfield Hills, MI 48302-5025
Phone (248) 232-0700

Other identifiers 2

IdentifierTypeStateIssuer
14R37OtherFLBLUE CROSS BLUE SHIELD
009227400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Michigan State University College of Human Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Ford PL
Suite 2E
Detroit, MI 48202-3450

One Ford Place
2E
Detroit, MI 48202-3450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy17
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081903MIMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Atisha Plastic Surgery, PLLC Plastic and Reconstructive Surgery Current Accepting new patients
Henry Ford Health System Plastic Surgery CurrentSince Jan 5, 2016 Accepting new patients
Henry Ford Health System CurrentSince Jan 5, 2016 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

43940 Woodward Ave
Ste 100
Bloomfield Township, MI 48302
Phone (248) 335-7200

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-2300

1050 Wilshire Dr
Ste 100
Troy, MI 48084
Phone (248) 232-0700

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: datisha389443@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1679694400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 LONE PINE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022522",
            "telephone_number": "248-514-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WILSHIRE DR STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841526",
            "telephone_number": "248-232-0700",
            "fax_number": "248-232-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43940 Woodward Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483025025",
            "country_code": "US",
            "telephone_number": "248-232-0700",
            "fax_number": "248-232-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATISHA",
        "first_name": "DUNYA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301081903",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME116674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14R37",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009227400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.