KAMAL FAHIM MD
NPI 1417150681
Ophthalmology in Detroit, MI

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
98.22/100
CMS Quality Rating
4717 ST. ANTOINE, KRESGE EYE INSTITUTE, DETROIT, MI 48201(313) 577-8900(313) 577-0700 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2016, Sep 13, 2016 (2 updates tracked since 2016).

About Kamal Fahim Md NPPES

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

KAMAL FAHIM MD (NPI 1417150681) is an individual ophthalmology provider in Detroit, Michigan, licensed in Michigan (4301090236) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2007).

NPPES Registry Identity

NPI1417150681
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKAMAL FAHIMCredential: MD
Location Address4717 ST. ANTOINE, KRESGE EYE INSTITUTEDetroit, MI 48201-1423
Mailing Address1560 E Maple Rd, Suite 400 - CredentialingTroy, MI 48083-1138 · (313) 577-8900 · Fax (313) 577-0700
Fax(313) 577-0700
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2007
Enumeration DateJune 6, 2007
Last NPPES UpdateOctober 25, 20162 updates tracked since enumeration
NPI 1417150681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301090236
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301090236 (MI)
4717 ST. ANTOINE, Detroit, MI 48201

Other Identifiers 1

Medicare PIN0P30630763MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kamal Fahim Md 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 ID3476723701
PECOS Enrollment IDI20110824000539
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.

Areas of Expertise CMS Part B claims 22

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
687 services467 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
337 services301 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
216 services129 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
216 services187 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
194 services193 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
188 services112 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost83.49

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
1%694 patients
Diabetes: Eye Exam
100%627 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
84%1,013 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%137 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%759 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,211 patients
Patients totalRate: 0% · 2,211 patients
0%2,211 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Optometrist
4717 ST. ANTOINE, KRESGE EYE INSTITUTE
DETROIT, MI 48201
Optometrist
4717 ST. ANTOINE, KRESGE EYE INSTITUTE
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4717 ST. ANTOINE, KRESGE EYE INSTITUTE
DETROIT, MI 48201
Ophthalmology
4717 ST. ANTOINE
DETROIT, MI 48201
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
4717 ST. ANTOINE, KRESGE EYE INSTITUTE
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 Kamal Fahim's NPI number?

The NPI number for Kamal Fahim is 1417150681. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Kamal Fahim located?

Kamal Fahim practices at 4717 St. Antoine Kresge Eye Institute, Detroit, MI 48201. The listed phone number is (313) 577-8900.

What is Kamal Fahim's specialty?

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

Is Kamal Fahim enrolled in Medicare?

Yes. Kamal Fahim 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.

What insurance does Kamal Fahim accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Kamal Fahim 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.

Is Kamal Fahim affiliated with any hospitals?

According to CMS data, Kamal Fahim is affiliated with Lake Huron Medical Center, Ascension St John Hospital and Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Kamal Fahim was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.