Individual provider Active NPI

Svetlana M Mishulin, MD

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1841308996
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301068674 Issued in MI
Practice address
3250 W Big Beaver Rd Ste 144
Troy, MI 48084-2907
Phone
(248) 637-7100
Fax
(248) 637-7175
NPI assigned
Aug 28, 2006
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301068674 MI Primary

Addresses

Primary practice location

3250 W Big Beaver Rd Ste 144
Troy, MI 48084-2907

Mailing address

3250 W Big Beaver Rd Ste 144
Troy, MI 48084-2907
Phone (248) 637-7100

Other identifiers 4

IdentifierTypeStateIssuer
SM068674OtherMIBLUE SHIELD TRUST PPO
990014832OtherMIRR MEDICARE
G98045OtherMISELECT CARE
P103256OtherMIBLUE CARE NETWORK

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
I20050223000936 MI Practitioner - Internal Medicine 5698769404 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Care Team-Primary Care Providers PLLCGroup PAC ID 9133588346, 8 clinicians
Meahealth PLCGroup PAC ID 8123201555, 3 clinicians
Apollo Hospitalist GroupGroup PAC ID 5193194033, 15 clinicians
Mandy Care, LLCGroup PAC ID 6507044948, 7 clinicians

Practice addresses (Care Compare)

30600 Northwestern Hwy
Farmington Hills, MI 48334-3161
Phone (844) 475-9526

3250 W Big Beaver Rd
Suite 144
Troy, MI 48084-2907
Phone (248) 637-7100

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3300

7125 Orchard Lake Rd
Suite 210
West Bloomfield, MI 48322-3618
Phone (248) 757-2410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301068674MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meahealth PLC Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
M&Y Care, LLC CurrentSince Apr 1, 2021 Accepting new patients
Apollo Hospitalist Group CurrentSince Nov 1, 2025 Accepting new patients
M&Y Care, LLC CurrentSince Apr 1, 2021 Accepting new patients
The Care Team-Primary Care Providers PLLC Internal Medicine CurrentSince May 9, 2023 Accepting new patients
Evergreen Health and Rehabilitation Center, LLC Past Accepting new patients
West Bloomfield Opco LLC Past Accepting new patients
Optalis Bloomfield Hills Opco, LLC Past Accepting new patients
West Bloomfield SNF LLC Past Accepting new patients
Bloomfield Hills SNF LLC Past Accepting new patients
WB Opco LLC Past Accepting new patients
Diversified Rehab Services, LLC Past Accepting new patients
Lakeland Neuro Care Center Limited PTR Past Accepting new patients
Ingham County Medical Care Facility Past Accepting new patients
Green Lake Opco, LLC Past Accepting new patients
Apollo Family Health Services PC Internal Medicine PastSince Nov 19, 2010 Accepting new patients

Locations

30600 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 957-1999

30600 Northwestern Hwy
Ste 245
Farmington Hills, MI 48334
Phone (248) 762-4668

5823 Middlebelt Rd
Garden City, MI 48135
Phone (734) 421-6333

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

3250 W Big Beaver Rd
Ste 144
Troy, MI 48084
Phone (248) 637-7100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFHEBA
  • Direct secure messaging: smishulin61345@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Greenfield Rehab and Nursing CenterRoyal Oak, MI, CCN 235433 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Dec 1, 2025
Onecare LTC, LLCOkemos, MI, CCN 235015 Skilled nursing facility Corporate Officer
Operational/Managerial Control
Adp of the SNF
Jan 29, 2024
Jan 29, 2024
Jan 29, 2024
Marvin & Betty Danto Health Care CenterWest Bloomfield, MI, CCN 235288 Skilled nursing facility Adp of the SNF Sep 1, 2023
Medilodge of West BloomfieldWest Bloomfield, MI, CCN 235487 Skilled nursing facility Adp of the SNF Jul 1, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1841308996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W BIG BEAVER RD STE 144",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842907",
            "telephone_number": "248-637-7100",
            "fax_number": "248-637-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W BIG BEAVER RD STE 144",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842907",
            "telephone_number": "248-637-7100",
            "fax_number": "248-637-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHULIN",
        "first_name": "SVETLANA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301068674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD TRUST PPO",
            "identifier": "SM068674",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "990014832",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE",
            "identifier": "G98045",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P103256",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.