Individual provider Active NPI

Aleksey Mishulin, MD

  • Ophthalmology Physician
  • Flint, MI
National Provider Identifier
1699155366
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301107762 Issued in MI
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

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190709000769 MI Practitioner - Ophthalmology 3779880141 Reassigns benefits to 2 organizations

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
Michigan Vision Institute PLLCGroup PAC ID 1658317748, 6 clinicians

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 100Reported as group
Quality
90.74
Improvement activities
40
Cost
75.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301107762MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Vision Institute PLLC Ophthalmology CurrentSince Nov 14, 2022 Accepting new patients
Grosinger Spigelman & Grey Eye Surgeons PC Ophthalmology CurrentSince Jul 1, 2019 Accepting new patients
Mei Operations, PLLC Ophthalmology PastSince Jul 1, 2019 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

  • Direct secure messaging: alex.mishulin@gseye.direct.eyemdemr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.