KOMAL MANILAL PATEL O.D
NPI 1578879839
Optometrist in Grand Rapids, MI

Active since August 25, 2010PECOS Enrolled
3709 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525(616) 365-2149 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Komal Manilal Patel O.d NPPES

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

KOMAL MANILAL PATEL O.D (NPI 1578879839) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901004607) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2010).

NPPES Registry Identity

NPI1578879839
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKOMAL MANILAL PATELCredential: O.D
Location Address3709 PLAINFIELD AVE NEGrand Rapids, MI 49525-2403
Mailing Address2337 N Park Dr, Suite 150Holland, MI 49424-8522 · (616) 510-2243 · Fax (616) 510-2244
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2010
Enumeration DateAugust 25, 2010
Last NPPES UpdateJune 16, 2014
✔ NPI 1578879839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901004607
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3709 PLAINFIELD AVE NE, Grand Rapids, MI 49525

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Komal Manilal Patel O.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941776389
PECOS Enrollment IDI20260414002280
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 Reassignment

Medicare enrollment records show Komal Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
3026 ROCHESTER ROAD
Rochester Hills, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 51 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 49525 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Komal Patel's NPI number?

The NPI number for Komal Patel is 1578879839. It was assigned to this individual provider in the NPPES registry on August 25, 2010.

Where is Komal Patel located?

Komal Patel practices at 3709 Plainfield Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 365-2149.

What is Komal Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Komal Patel enrolled in Medicare?

Yes. Komal Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Komal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Komal Patel reassigns Medicare benefits to Visionworks, Inc (Rochester Hills, MI). 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 Komal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Komal Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Komal Patel 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 Komal Patel was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.