DR. NAIYA PANCHAL O.D
NPI 1225573579
Optometrist in Marshall, MI
About Dr. Naiya Panchal O.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NAIYA PANCHAL O.D (NPI 1225573579) is an individual optometrist in Marshall, Michigan, licensed in Michigan (4901005026) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Other Identifiers 1
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
Dr. Naiya Panchal O.d 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 Reassignments
3Medicare enrollment records show Naiya Panchal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marshall, MI 49068
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Blue Sky Vision Eye Care PC
- 30 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 61 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49068 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 5
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 Naiya Panchal's NPI number?
The NPI number for Naiya Panchal is 1225573579. It was assigned to this individual provider in the NPPES registry on December 22, 2016.
Where is Naiya Panchal located?
Naiya Panchal practices at 830 W Michigan Ave, Marshall, MI 49068. The listed phone number is (269) 781-9822.
What is Naiya Panchal's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Naiya Panchal enrolled in Medicare?
Yes. Naiya Panchal 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 Naiya Panchal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Naiya Panchal reassigns Medicare benefits to 3 organizations: South Michigan Ophthalmology P C (Marshall, MI), Blue Sky Vision Eye Care, P.C (Grand Rapids, MI) and West Point Optical Group (Novi, MI). 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 Naiya Panchal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Naiya Panchal accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 16 other insurers list Naiya Panchal 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 Naiya Panchal was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Naiya Panchal, O.D · NPI 1225573579
Optometrist provider in Marshall, Michigan. Individual provider, active in the CMS NPPES registry since December 22, 2016.
## Identity
- **NPI:** 1225573579 (Entity type: Individual)
- **Enumerated:** December 22, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901005026 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 830 W MICHIGAN AVE, Marshall, MI 49068
- **Phone:** (269) 781-9822 · **Fax:** (269) 781-3622
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): South Michigan Ophthalmology P C (NPI 1629224514, Marshall, MI); Blue Sky Vision Eye Care, P.C (NPI 1801977202, Grand Rapids, MI); West Point Optical Group (NPI 1831548890, Novi, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2016
## Record status
- **NPPES last updated:** March 24, 2026
- **Other identifiers:** Medicaid 1225573579 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1225573579) · Data from the CMS NPPES public registry.