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LEILA SIBLANI O.D.
NPI 1912381435
Optometrist in Monroe, MI

Active since July 14, 2015PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
725 N MONROE ST, MONROE, MI 48162(734) 242-2727(734) 242-2745 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Leila Siblani O.d. NPPES

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

LEILA SIBLANI O.D. (NPI 1912381435) is an individual optometrist in Monroe, Michigan, licensed in Michigan (4901004905) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and is a graduate of Illinois College Of Optometry At Chicago (2015).

NPPES Registry Identity

NPI1912381435
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLEILA SIBLANICredential: O.D.
Location Address725 N MONROE STMonroe, MI 48162-2936
Mailing Address725 N Monroe StMonroe, MI 48162-2936 · (734) 242-2727 · Fax (734) 242-2745
Phone(734) 242-2727
Fax(734) 242-2745
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2015
Enumeration DateJuly 14, 2015
Last NPPES UpdateAugust 12, 2021
NPPES CertifiedAugust 12, 2021
✔ NPI 1912381435 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 · 4901004905
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.
725 N MONROE ST, Monroe, MI 48162
Open in Google Maps ↗

Other Identifiers 1

Other13589866Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.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

Leila Siblani 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.

PECOS PAC ID9133433584
PECOS Enrollment IDI20150730010618
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

2

Medicare enrollment records show Leila Siblani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

M. Hanif Peracha , M.D. , P.C.
Same address
Ophthalmology
725 N MONROE ST
Monroe, MI 48162
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
NPI 1346292935 (734) 242-2727
Pcor, LLC
46 mi
Optometrist
735 JOHN R RD
Troy, MI 48083
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: P-Cor LLC
  • 125 clinicians in this Medicare group
NPI 1801122460 (248) 544-3290

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 8

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
125 services119 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
61 services51 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.
57 services55 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
41 services38 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.
31 services31 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.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48162 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.

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.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost55.98

Other Providers at the Same Location NPPES 6

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

DR. MOHAMMAD HANIF PERACHA M.D.
Ophthalmology
725 N MONROE ST
MONROE, MI 48162
Monroe County (734) 242-2727
M. HANIF PERACHA , M.D. , P.C.
Ophthalmology
725 N MONROE ST
MONROE, MI 48162
Monroe County (734) 242-2727
DR. MEIRAJ AHMAD SIDDIQUI M.D.
Ophthalmology
725 N MONROE ST
MONROE, MI 48162
Monroe County (734) 242-2727
K'S OPTICAL
Eyewear Supplier
725 N MONROE ST
MONROE, MI 48162
Monroe County (734) 242-2726
MANAL PERACHA-RIYAZ M.D.
Ophthalmology
725 N MONROE ST
MONROE, MI 48162
Monroe County (734) 242-2727
ZUHAIR H PERACHA M.D.
Ophthalmology (Retina Specialist)
725 N MONROE ST
MONROE, MI 48162
Monroe County (734) 242-2727

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 Leila Siblani's NPI number?

The NPI number for Leila Siblani is 1912381435. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Leila Siblani located?

Leila Siblani practices at 725 N Monroe St, Monroe, MI 48162. The listed phone number is (734) 242-2727.

What is Leila Siblani's specialty?

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

Is Leila Siblani enrolled in Medicare?

Yes. Leila Siblani 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 Leila Siblani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leila Siblani reassigns Medicare benefits to 2 organizations: M. Hanif Peracha , M.D. , P.C. (Monroe, MI) and Pcor, LLC (Troy, 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 Leila Siblani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leila Siblani accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 5 other insurers list Leila Siblani 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 Leila Siblani affiliated with any hospitals?

According to CMS data, Leila Siblani is affiliated with Promedica Monroe Regional Hospital.

When was this NPI record last updated?

The NPPES record for Leila Siblani was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.