KEVIN ROUMAYAH DO
NPI 1184250128
Ophthalmology in Detroit, MI

Active since March 22, 2020PECOS EnrolledAccepts Medicare Assignment
4717 SAINT ANTOINE ST, DETROIT, MI 48201(313) 577-8900 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2024, May 17, 2024, Mar 22, 2020 (3 updates tracked since 2020).

About Kevin Roumayah Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN ROUMAYAH DO (NPI 1184250128) is an individual ophthalmology provider in Detroit, Michigan, licensed in Michigan (5101028591) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Michigan State University College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1184250128
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEVIN ROUMAYAHCredential: DO
Location Address4717 SAINT ANTOINE STDetroit, MI 48201-1423
Mailing Address400 Mack AveDetroit, MI 48201-2136
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2020
Enumeration DateMarch 22, 2020
Last NPPES UpdateJuly 25, 20253 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1184250128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MI · 5101028591✔ Licensed in IN · 02007843A
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4717 SAINT ANTOINE ST, Detroit, MI 48201

Secondary Practice Locations 3

Location 112000 E 12 Mile RdWarren, MI 48093-3570 · Phone (248) 967-7123
Location 21160 W Michigan StIndianapolis, IN 46202-5209 · Phone (317) 278-5002
Location 310300 N Illinois StCarmel, IN 46290-1166 · Phone (317) 817-1333

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

Kevin Roumayah Do 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.

PECOS PAC ID8325430473
PECOS Enrollment IDI20250726000094
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kevin Roumayah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
4717 SAINT ANTOINE ST
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
Family Medicine
11800 E 12 MILE RD
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • 161 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Family Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 737 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 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Ophthalmology
4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE
DETROIT, MI 48201
Optometrist
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Ophthalmology
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4717 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4717 SAINT ANTOINE ST
DETROIT, MI 48201

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 Kevin Roumayah's NPI number?

The NPI number for Kevin Roumayah is 1184250128. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Where is Kevin Roumayah located?

Kevin Roumayah practices at 4717 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 577-8900.

What is Kevin Roumayah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin Roumayah enrolled in Medicare?

Yes. Kevin Roumayah 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 organizations bill Medicare for Kevin Roumayah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Roumayah reassigns Medicare benefits to 4 organizations: University Physician Group (Detroit, MI), Henry Ford Health Macomb-Oakland Hospital (Warren, MI), Iu Health Medical Group, LLC (Indianapolis, IN) and University Family Physicians, Inc. (Indianapolis, IN). Each 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 Kevin Roumayah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Roumayah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Kevin Roumayah 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 Kevin Roumayah was last updated on July 25, 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.