MYISHA Z. PORTER M.D.
NPI 1093975443
Pediatrics in Champaign, IL

Q: What is Myisha Porter's NPI number?

The NPI number for Myisha Porter is 1093975443. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Q: What is Myisha Porter's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Myisha Porter was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 10, 2008PECOS Enrolled

1801 WINDSOR RD, CHAMPAIGN, IL 61822(217) 366-1257 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Myisha Z. Porter M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYISHA Z. PORTER M.D. (NPI 1093975443) is an individual pediatrics provider in Champaign, Illinois, licensed in Illinois (036-119469) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093975443

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMYISHA Z. PORTERCredential: M.D.

Location Address1801 WINDSOR RDChampaign, IL 61822-6217

Mailing Address101 W University AveChampaign, IL 61820-3981 · (217) 366-6162

Phone(217) 366-1257

Sole ProprietorNo

Enumeration DateJune 10, 2008

Last NPPES UpdateMarch 20, 2024

NPPES CertifiedMarch 20, 2024

✔ NPI 1093975443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-119469

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1801 WINDSOR RD, Champaign, IL 61822

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Other Identifiers 2

Medicaid1093975443 1IL

Other279500IL · Medicare Group

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myisha Z. Porter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.