SAYF AL-KHAZRAJI OD
NPI 1790461390
Optometrist in Mishawaka, IN
About Sayf Al-khazraji Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAYF AL-KHAZRAJI OD (NPI 1790461390) is an individual optometrist in Mishawaka, Indiana, licensed in Indiana (18004428A) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2023).
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
Sayf Al-khazraji 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 Sayf Al-khazraji reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mishawaka, IN 46544
- Reassigned Medicare billing, Indiana enrollment
- 183 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 3
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 46544 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 20
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 Sayf Al-khazraji's NPI number?
The NPI number for Sayf Al-khazraji is 1790461390. It was assigned to this individual provider in the NPPES registry on June 27, 2023.
Where is Sayf Al-khazraji located?
Sayf Al-khazraji practices at 420 W 4th St, Mishawaka, IN 46544. The listed phone number is (574) 307-7673.
What is Sayf Al-khazraji's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Sayf Al-khazraji enrolled in Medicare?
Yes. Sayf Al-khazraji 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 Sayf Al-khazraji's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sayf Al-khazraji reassigns Medicare benefits to Healthlinc, Inc. (Mishawaka, IN). 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 Sayf Al-khazraji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sayf Al-khazraji accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 4 other insurers list Sayf Al-khazraji 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 Sayf Al-khazraji was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sayf Al-Khazraji, OD · NPI 1790461390
Optometrist provider in Mishawaka, Indiana. Individual provider, active in the CMS NPPES registry since June 27, 2023.
## Identity
- **NPI:** 1790461390 (Entity type: Individual)
- **Enumerated:** June 27, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18004428A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 W 4TH ST, Mishawaka, IN 46544-1948
- **Phone:** (574) 307-7673 · **Fax:** (574) 307-7692
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Healthlinc, Inc. (NPI 1417244989, Mishawaka, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2023
## Record status
- **NPPES last updated:** September 4, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1790461390) · Data from the CMS NPPES public registry.