Active NPI
Dunya Mary Atisha, MD
- Plastic and Reconstructive Surgery Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 4301081903
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14R37 | Other | FL | BLUE CROSS BLUE SHIELD |
| 009227400 | Medicaid | FL |
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 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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 17 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301081903 | MI | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Henry Ford Health System | Current | 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
- 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.
-
- Plastic and Reconstructive Surgery Physician
- Troy, MI
- NPI 1164370680
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Plastic Surgery Physician
- Detroit, MI
- NPI 1528142858
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
dba Henry Ford Health System
- Children's Substance Abuse Rehabilitation Facility
- West Bloomfield, MI
- NPI 1295767630
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford West Bloomfield Hospital
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.