Active NPI
Rahi Shah Sachdeva, OD
- Optometrist
- Oak Park, MI
National Provider Identifier
1114455144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005047
- Practice address
- 23055 Coolidge Hwy
Oak Park, MI 48237-2071 - Phone
- (248) 399-1556
- Fax
- (248) 399-2789
- NPI assigned
- Jun 4, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005047 | MI | Primary |
Addresses
Primary practice location
23055 Coolidge Hwy
Oak Park, MI 48237-2071
Mailing address
1825 S Park St
Kalamazoo, MI 49001-2762
Phone (269) 342-0003
Other names 1
- Rahi Shah
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Nova Southeastern Univ College of Dental Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1794 N Old US
23 Designs for Eyes
Howell, MI 48843-7193
Phone (810) 632-7444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005047 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cripe Holdings LLC | Current | Accepting new patients | |
| Kat Stannis LLC | Current | Accepting new patients | |
| RX Optical Laboratories, Inc. | Optometrist | Past | Accepting new patients |
Locations
1794 N Old US 23
Howell, MI 48843
Phone (810) 632-7444
Organizations & group practices 3
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.
-
- Optician
- Howell, MI
- NPI 1487462529
-
- Optician
- Howell, MI
- NPI 1811377740
-
- Optometrist
- Farmington Hills, MI
- NPI 1821371584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1114455144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 S PARK ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490012762",
"telephone_number": "269-342-0003",
"fax_number": "269-342-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23055 COOLIDGE HWY",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372071",
"telephone_number": "248-399-1556",
"fax_number": "248-399-2789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACHDEVA",
"first_name": "RAHI",
"middle_name": "SHAH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-04",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAHI",
"last_name": "SHAH",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.