SANIYA MERCHANT OD
NPI 1043107725
Optometrist in Buffalo Grove, IL
About Saniya Merchant Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANIYA MERCHANT OD (NPI 1043107725) is an individual optometrist in Buffalo Grove, Illinois, licensed in Illinois (046.011972) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Saniya Merchant Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Saniya Merchant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Buffalo Grove, IL 60089
- Reassigned Medicare billing, Illinois enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Saniya Merchant's NPI number?
The NPI number for Saniya Merchant is 1043107725. It was assigned to this individual provider in the NPPES registry on June 23, 2025.
Where is Saniya Merchant located?
Saniya Merchant practices at 1120 W Lake Cook Rd, Buffalo Grove, IL 60089. The listed phone number is (847) 459-6060.
What is Saniya Merchant's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Saniya Merchant enrolled in Medicare?
Yes. Saniya Merchant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Saniya Merchant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Saniya Merchant reassigns Medicare benefits to Premier Eye Care & Surgery Ltd (Buffalo Grove, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Saniya Merchant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Saniya Merchant accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Oscar Health and Oscar Health Insurance and 6 other insurers list Saniya Merchant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Saniya Merchant was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Saniya Merchant, OD · NPI 1043107725
Optometrist provider in Buffalo Grove, Illinois. Individual provider, active in the CMS NPPES registry since June 23, 2025.
## Identity
- **NPI:** 1043107725 (Entity type: Individual)
- **Enumerated:** June 23, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 046.011972 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 W LAKE COOK RD, Buffalo Grove, IL 60089-1970
- **Phone:** (847) 459-6060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Premier Eye Care & Surgery Ltd (NPI 1306905005, Buffalo Grove, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043107725) · Data from the CMS NPPES public registry.