Individual provider Active NPI

Manal Peracha-Riyaz, M.D.

  • Ophthalmology Physician
  • Monroe, MI
National Provider Identifier
1588907299
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301103242 Issued in MI
Practice address
725 N Monroe St
Monroe, MI 48162-2936
Phone
(734) 242-2727
Fax
(734) 242-2745
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0086473 MD
Ophthalmology Physician 207W00000X MD046531 DC
Ophthalmology Physician 207W00000X 4301103242 MI Primary

Addresses

Primary practice location

725 N Monroe St
Monroe, MI 48162-2936

Mailing address

725 N Monroe St
Monroe, MI 48162-2936
Phone (734) 242-2727

Other practice location 1

1160 Varnum St NE Ste 11
Washington, DC 20017
Phone (410) 571-8733

Other practice location 2

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Other identifiers 1

IdentifierTypeStateIssuer
14033965OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MPR@esa.ema.direct.md Direct

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
I20170829003347 MI Practitioner - Ophthalmology 8820221054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M. Hanif Peracha , M.D. , P.C.Group PAC ID 5193743078, 5 clinicians

Practice addresses (Care Compare)

725 N Monroe St
Monroe, MI 48162-2936
Phone (734) 242-2727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
97.77
Improvement activities
40
Cost
79.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery152
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0086473MDMDOphthalmology Physician
4301103242MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M. Hanif Peracha , M.D. , P.C. Ophthalmology CurrentSince Aug 1, 2020 Accepting new patients
Eye Care Associates of Michigan P C Ophthalmology PastSince Mar 10, 2008 Accepting new patients

Locations

8538 N Canton Center Rd
Canton, MI 48187
Phone (734) 459-1111

20210 Farmington Rd
Livonia, MI 48152
Phone (248) 476-4130

725 N Monroe St
Monroe, MI 48162
Phone (313) 242-2727

Interoperability endpoints

  • Direct secure messaging: mpr@esa.ema.direct.md
  • Direct secure messaging: mperachariyaz@directaddress.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1588907299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622936",
            "telephone_number": "734-242-2727",
            "fax_number": "734-242-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622936",
            "telephone_number": "734-242-2727",
            "fax_number": "734-242-2745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Varnum St NE Ste 11",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20017",
            "country_code": "US",
            "telephone_number": "410-571-8733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERACHA-RIYAZ",
        "first_name": "MANAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0086473",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD046531",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301103242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14033965",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MPR@esa.ema.direct.md",
            "affiliation": "N",
            "endpointDescription": "HISP Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HISP",
            "address_1": "725 N Monroe St",
            "city": "Monroe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481622936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.