Individual provider Active NPI

Bianca Kizy, M.D.

  • Ophthalmology Physician
  • Royal Oak, MI
National Provider Identifier
1548655152
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301500375 Issued in MI
Practice address
30301 Woodward Ave Ste 101
Royal Oak, MI 48073-0981
Phone
(248) 398-2525
Fax
(248) 398-9286
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 4301500375 MI Primary

Addresses

Primary practice location

30301 Woodward Ave Ste 101
Royal Oak, MI 48073-0981

Mailing address

30301 Woodward Ave Ste 101
Royal Oak, MI 48073-0981
Phone (248) 398-2525

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
I20190620001326 MI Practitioner - Ophthalmology 1153637723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bianca Kizy MD PLLCGroup PAC ID 2668984980, 2 clinicians
Darryl T Goldberg MD PCGroup PAC ID 9739259011, 2 clinicians

Practice addresses (Care Compare)

30301 Woodward Ave
Suite 101
Royal Oak, MI 48073-0981
Phone (248) 398-2525

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as individual
Quality
99.08
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301500375MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darryl T Goldberg MD PC Ophthalmology CurrentSince May 27, 2025 Accepting new patients
Bianca Kizy MD PLLC Ophthalmology CurrentSince May 12, 2025 Accepting new patients

Locations

30301 Woodward Ave
Ste 101
Royal Oak, MI 48073
Phone (248) 398-2525

Organizations & group practices 2

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1548655152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30301 WOODWARD AVE STE 101",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730981",
            "telephone_number": "248-398-2525",
            "fax_number": "248-398-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30301 WOODWARD AVE STE 101",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730981",
            "telephone_number": "248-398-2525",
            "fax_number": "248-398-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZY",
        "first_name": "BIANCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301500375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.