KEITH MITCHELL MILOSHOFF (OD) – Optometrist, NPI 1891216925

KEITH MITCHELL MILOSHOFF (OD) is a healthcare provider. based in Carmel, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004048A (IN). The NPI Number for KEITH MITCHELL MILOSHOFF (OD) is 1891216925

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
KEITH MITCHELL MILOSHOFF (OD)
NPI
1891216925
Phone
(219) 308-5704
Address
1111 W MAIN ST APT 302
Enumeration Date
28 June 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
3178447474
Graduation Year
2017 (9 years ago)
PAC ID
4880967025
Group Practice PAC ID
2769446517
Professional Enrollment ID
I20170908002905
Address ID
IN460322087CA630XXSWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for KEITH MITCHELL MILOSHOFF (OD)

  • 1111 W MAIN ST APT 302

    CARMEL, IN 460321588

    Phone: (219) 308-5704

    Type: Mailing

  • 630 3rd Ave SW Ste 100

    Carmel, IN 460322087

    Phone: (317) 844-7474

    Type: Location

  • 16409, Southpark Drive, Westfield, Hamilton County, Indiana, 46074, United States

    WESTFIELD, IN 460748470

    Phone: (317) 896-5005

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($30).

Total Amount

$60

General + Research + Ownership

Payments

4

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170908002905IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system4848$0
92004New patient complete exam of visual system1818$0
View full utilization report →

Insurance plans in this area (ZIP 46032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769446517View full group profile
NameSpecialtyState
O P T O M E T R YIN

Reviews

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Frequently asked questions

What is the standard ID for KEITH MITCHELL MILOSHOFF (OD) in the U.S.?
In the U.S., KEITH MITCHELL MILOSHOFF (OD) is identified by NPI 1891216925.
Quick check: is KEITH MITCHELL MILOSHOFF (OD) active?
Public NPPES data shows KEITH MITCHELL MILOSHOFF (OD) with an active NPI status right now.
Which specialty label fits KEITH MITCHELL MILOSHOFF (OD)?
NPPES ties KEITH MITCHELL MILOSHOFF (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KEITH MITCHELL MILOSHOFF (OD)?
KEITH MITCHELL MILOSHOFF (OD) shows a connection to Carmel, Indiana in registry-derived data.
Can I export KEITH MITCHELL MILOSHOFF (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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