Individual provider Active NPI

Leila Siblani, O.D.

  • Optometrist
  • Monroe, MI
National Provider Identifier
1912381435
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004905 Issued in MI
Practice address
725 N Monroe St
Monroe, MI 48162-2936
Phone
(734) 242-2727
Fax
(734) 242-2745
NPI assigned
Jul 14, 2015
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004905 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 identifiers 1

IdentifierTypeStateIssuer
13589866OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Leila@es.emadirect.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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730010618 MI Practitioner - Optometry 9133433584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
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

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004905MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor LLC Optometrist CurrentSince Aug 1, 2015 Accepting new patients
Pcor, LLC Optometrist CurrentSince Aug 1, 2015 Accepting new patients
M. Hanif Peracha , M.D. , P.C. CurrentSince Sep 1, 2019 Accepting new patients

Locations

1961 S Telegraph Rd
Ste 101
Bloomfield Township, MI 48302
Phone (248) 972-2555

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

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

40895 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6300

735 John R Rd
Troy, MI 48083
Phone (248) 544-3290

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: leila@es.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1912381435",
    "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": [],
    "basic": {
        "last_name": "SIBLANI",
        "first_name": "LEILA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13589866",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Leila@es.emadirect.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.