Alisha Khambati, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301516904 Issued in MI

Practice address

4717 Saint Antoine St
Detroit, MI 48201-1423

Phone

(313) 577-8900

NPI assigned

Apr 5, 2022

Last updated

Jun 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2022

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: akhambati2696874@direct.trinity-health.org
• Direct secure messaging: alisha.khambati.1@19711.direct.athenahealth.com

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.

• Lake Lazer Eye Center PC

  • Ophthalmology Physician
  • Clinton TWP, MI
  • NPI 1003951575
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1699416560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SUNNINGDALE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022421",
            "telephone_number": "248-648-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011423",
            "telephone_number": "313-577-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMBATI",
        "first_name": "ALISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301516904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marwa Abdulmunaem Khalil
• Michael Khalil, M.D.
• Fareea Khaliq, MD
• Izma Khaliq, MD
• Gurujot Singh Khalsa, M.D.
• Pranav Khambete
• Cecil Khami, PA-C
• Naima Khamsi, M.D.
• Abdul Karim Khan, D.M.D.
• Ahmed Raza Khan, M.D.

• Ophthalmology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.