ALI KHALIL CHUKR – Optometrist, NPI 1104673144

ALI KHALIL CHUKR is a healthcare provider. based in Troy, Michigan. specializing in OPTOMETRY. They hold a License No. 4901005812 (MI). The NPI Number for ALI KHALIL CHUKR is 1104673144

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
ALI KHALIL CHUKR
NPI
1104673144
Phone
(248) 951-0000
Address
735 John R Rd
Enumeration Date
6 May 2024
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3132747540
Graduation Year
2024 (2 years ago)
PAC ID
8729526090
Group Practice PAC ID
8820065618
Professional Enrollment ID
I20240817000163
Address ID
MI481242917DE1922XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,203 OPTOMETRY in MI

Provider Addresses for ALI KHALIL CHUKR

  • 735 John R Rd

    Troy, MI 480835856

    Phone: (248) 951-0000

    Type: Location

  • 5262 STEADMAN ST

    DEARBORN, MI 481263089

    Phone: (313) 442-2915

    Type: Mailing

  • 1922 MONROE ST

    DEARBORN, MI 481242917

    Phone: (616) 949-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-17

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
I20240817000163IOptometryMITBD

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 48083)

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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: 8820065618View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R 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 T O M E T R YMI
-MI
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 T O M E T R YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

Can I use this page to confirm ALI KHALIL CHUKR's NPI?
Yes. ALI KHALIL CHUKR is listed with NPI 1104673144 in the public NPI dataset.
Can I rely on ALI KHALIL CHUKR being an active provider?
As of the registry snapshot, ALI KHALIL CHUKR is marked active.
What healthcare role does ALI KHALIL CHUKR hold?
Scheduling teams often label ALI KHALIL CHUKR under Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for ALI KHALIL CHUKR?
ALI KHALIL CHUKR's geographic hint is Troy, Michigan in our summary view.
Is the information about ALI KHALIL CHUKR up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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