Individual provider Active NPI

Shira Heisler, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1922428150
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301106190 Issued in MI
Practice address
4201 Saint Antoine St
Uhc 9C
Detroit, MI 48201
Phone
(313) 745-5147
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301106190 MI
Internal Medicine Physician 207R00000X 4301106190 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St
Uhc 9C
Detroit, MI 48201

Mailing address

4201 Saint Antoine St
Uhc 9C
Detroit, MI 48201-2153

Other practice location 1

Children's Hospital of MI - ER Dept
3901 Beaubien
Detroit, MI 48201
Phone (313) 745-5260

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
I20180905001613 MI Practitioner - Pediatric MedicinePractitioner - Internal MedicinePractitioner - Emergency Medicine 6901107515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

50 E Canfield St
Suite 101 S
Detroit, MI 48201-1804
Phone (313) 577-9100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians Pediatrics CurrentSince Jan 22, 2019 Accepting new patients
University Physician Group Internal Medicine CurrentSince Aug 17, 2018 Accepting new patients
University Pediatricians Pediatrics CurrentSince Jan 22, 2019 Accepting new patients
University Physician Group PastSince Aug 17, 2018 Accepting new patients

Locations

4201 Saint Antoine St
#9C
Detroit, MI 48201
Phone (313) 966-0463

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

50 E Canfield St
Ste 101S
Detroit, MI 48201
Phone (313) 577-8840

3901 Chrysler Dr
Ste 4A
Detroit, MI 48201
Phone (313) 966-7601

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

Interoperability endpoints

  • Direct secure messaging: sheisler@direct.dmc.org
  • Direct secure messaging: shira.heisler.1@19711.direct.athenahealth.com

Organizations & group practices 4

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1922428150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "UHC 9C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "UHC 9C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Children's Hospital of MI - ER Dept",
            "address_2": "3901 Beaubien",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48201",
            "country_code": "US",
            "telephone_number": "313-745-5260",
            "fax_number": "313-993-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEISLER",
        "first_name": "SHIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301106190",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301106190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.