Active NPI
Shira Heisler, MD
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301106190
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| University Physician Group | Past | 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
- sheisler@direct.dmc.org
- 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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
-
- Social Worker
- Livonia, MI
- NPI 1154360402
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.