Active NPI
Aleksey Mishulin, MD
- Ophthalmology Physician
- Flint, MI
National Provider Identifier
1699155366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301107762
- Practice address
- 5300 Gateway Ctr
Flint, MI 48507-3930 - Phone
- (810) 720-9111
- Fax
- (810) 720-9119
- NPI assigned
- Jun 8, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301107762 | MI | Primary |
Addresses
Primary practice location
5300 Gateway Ctr
Flint, MI 48507-3930
Mailing address
1750 S Telegraph Ste 205
Bloomfield Hills, MI 48302
Phone (248) 333-2900
Other names 1
- Alex Mishulin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Wayne State University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5300 Gateway Ctr
Flint, MI 48507-3930
Phone (810) 720-9111
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.05 of 100
- Quality
- 90.74
- Improvement activities
- 40
- Cost
- 75.84
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301107762 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Vision Institute PLLC | Ophthalmology | Current | Accepting new patients |
| Grosinger Spigelman & Grey Eye Surgeons PC | Ophthalmology | Current | Accepting new patients |
| Mei Operations, PLLC | Ophthalmology | Past | Accepting new patients |
Locations
1750 S Telegraph Rd
Ste 205
Bloomfld Hls, MI 48302
Phone (248) 333-2900
5302 Gateway Ctr
Flint, MI 48507
Phone (810) 285-9901
5300 Gateway Ctr
Flint, MI 48507
Phone (810) 720-9111
Interoperability endpoints
- alex.mishulin@gseye.direct.eyemdemr.com
- aleksey.mishulin.1@11987.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Flint, MI
- NPI 1780746081
-
- Ophthalmology Physician
- Bloomfield Township, MI
- NPI 1699798660
-
- Ophthalmology Physician
- Flint, MI
- NPI 1316008774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1699155366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 S TELEGRAPH STE 205",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "48302",
"telephone_number": "248-333-2900",
"fax_number": "248-333-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 GATEWAY CTR",
"city": "FLINT",
"state": "MI",
"postal_code": "485073930",
"telephone_number": "810-720-9111",
"fax_number": "810-720-9119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHULIN",
"first_name": "ALEKSEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-08",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301107762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEX",
"last_name": "MISHULIN",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.
- 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.