Shabbir Khambati, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301070791Q Issued in MI

Practice address

35426 Harper Ave
Clinton TWP, MI 48035-3205

Phone

(586) 792-3891

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Lazer Eye Center PCGroup PAC ID 2264535152, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as group

Quality

88.54

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skhambati@llec.eyefinity-direct.com

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.

• Lake Lazer Eye Center PC

  • Ophthalmology Physician
  • Clinton TWP, MI
  • NPI 1003951575
  Medicare reassignment Care Compare group NPD Authorized official
• Lake Lazer Eye Center

  • Preferred Provider Organization
  • Novi, MI
  • NPI 1376732388
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1104938257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35776 HARPER AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480353205",
            "telephone_number": "586-792-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35426 HARPER AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480353205",
            "telephone_number": "586-792-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMBATI",
        "first_name": "SHABBIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301070791Q",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK - BCBS",
            "identifier": "0501160",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES",
            "identifier": "140631",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4606945",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "H42351",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Joye Kern, MSW
• Howard B Kerwin, DO
• Katie Ann Kesterson
• Kianoush Khaghany, MD
• Lafi Saba Khalil, MD
• Amena Nishat Khan, LLPC
• Amin R Khan, M.D.
• Qasim Khan
• Nikha Khanna, PT
• Kurtis Robert Kieleszewski, D.O.

• Ophthalmology Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.

Verify at the official NPI Registry.