AMANDA ISMAIL (MD) – Pediatric Ophthalmology and Strabismus Specialist Physician, NPI 1083078802

AMANDA ISMAIL (MD) is a healthcare provider. based in West bloomfield, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 4301502871 (MI). The NPI Number for AMANDA ISMAIL (MD) is 1083078802

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA ISMAIL (MD)
NPI
1083078802
Phone
Not provided
Address
6689 ORCHARD LAKE RD # 297
Enumeration Date
7 April 2016
Last Update Date
10 March 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2485387400
Graduation Year
2016 (10 years ago)
PAC ID
6507140597
Group Practice PAC ID
0244338127
Professional Enrollment ID
I20210615002152
Address ID
MI483223606WE7001XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

844 OPHTHALMOLOGY in MI

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Provider Addresses for AMANDA ISMAIL (MD)

  • 6689 ORCHARD LAKE RD # 297

    WEST BLOOMFIELD, MI 483223404

    Phone:

    Type: Mailing

  • Ascension Providence Rochester Hospital, 1101, West University Drive, Rochester Hills, Oakland County, Michigan, 48307, United States

    3-NORTH

    ROCHESTER, MI 483071863

    Phone:

    Type: Mailing

  • 7001 ORCHARD LAKE RD STE 200

    WEST BLOOMFIELD, MI 483223606

    Phone: (248) 538-7400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($116).

Total Amount

$116

General + Research + Ownership

Payments

1

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2021-06-15

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
I20210615002152IOphthalmologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48322)

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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: 0244338127View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What identifier follows AMANDA ISMAIL (MD) across health systems?
The NPI 1083078802 uniquely identifies AMANDA ISMAIL (MD) in U.S. healthcare data.
Is AMANDA ISMAIL (MD)'s NPI status active today?
Active status means AMANDA ISMAIL (MD)'s NPI record is not deactivated in the public file.
What does the directory say AMANDA ISMAIL (MD) does?
Insurance directories may phrase it differently, but here AMANDA ISMAIL (MD) maps to Pediatric Ophthalmology and Strabismus Specialist Physician. Clinical services aligned with this taxonomy classification.
Can patients visit AMANDA ISMAIL (MD) in West Bloomfield, Michigan?
For routing, start with West Bloomfield, Michigan for AMANDA ISMAIL (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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