SARAH KAYALI (OD) – Optometrist, NPI 1104709153

SARAH KAYALI (OD) is a healthcare provider. based in Wauwatosa, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4096-35 (WI). The NPI Number for SARAH KAYALI (OD) is 1104709153

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
SARAH KAYALI (OD)
NPI
1104709153
Phone
Not provided
Address
12325 W BURLEIGH ST
Enumeration Date
28 July 2025
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
4148970152
Graduation Year
2025 (1 year ago)
PAC ID
4688172620
Group Practice PAC ID
5698676518
Professional Enrollment ID
I20250809000145
Address ID
WI532174920GL5530XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

798 OPTOMETRY in WI

Provider Addresses for SARAH KAYALI (OD)

  • 12325 W BURLEIGH ST

    WAUWATOSA, WI 532223116

    Phone:

    Mailing address matches the actual address.

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: 2025-08-09

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
I20250809000145IOptometryWITBD

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 53222)

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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: 5698676518View full group profile
NameSpecialtyState
O P T O M E T R YWI
O P T O M E T R YWI
O P T O M E T R YWI
-IN
O P T O M E T R YWI
O P T O M E T R YWI
-WI
O P T O M E T R YCA
O P T O M E T R YWI
O P T O M E T R YWI

Reviews

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Frequently asked questions

Can I cross-check SARAH KAYALI (OD) using NPI 1104709153?
NPI 1104709153 belongs to SARAH KAYALI (OD); compare other details if you need extra assurance.
Active or inactive — what applies to SARAH KAYALI (OD)?
You should see SARAH KAYALI (OD) as active in CMS-hosted NPPES data.
What clinical focus is listed for SARAH KAYALI (OD)?
At a glance, SARAH KAYALI (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is SARAH KAYALI (OD) associated with Wauwatosa?
Public fields place SARAH KAYALI (OD) around Wauwatosa, Wisconsin. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SARAH KAYALI (OD) is noted as July 28, 2025 where the registry provides it.

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