EVILEEN KHOSHABA
NPI 1992630685
Optometrist in Commerce Township, MI
About Evileen Khoshaba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVILEEN KHOSHABA (NPI 1992630685) is an individual optometrist in Commerce Township, Michigan, licensed in Michigan (4901005937) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).
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 (PECOS)
Evileen Khoshaba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Evileen Khoshaba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Commerce Township, MI 48382
- Reassigned Medicare billing, Michigan enrollment
- 125 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 48382 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Evileen Khoshaba's NPI number?
The NPI number for Evileen Khoshaba is 1992630685. It was assigned to this individual provider in the NPPES registry on June 15, 2026.
Where is Evileen Khoshaba located?
Evileen Khoshaba practices at 5968 Majestic Oaks Dr, Commerce Township, MI 48382. The listed phone number is (248) 747-1210.
What is Evileen Khoshaba's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Evileen Khoshaba enrolled in Medicare?
Yes. Evileen Khoshaba is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Evileen Khoshaba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evileen Khoshaba reassigns Medicare benefits to P-Cor, LLC (Commerce Township, 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 Evileen Khoshaba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evileen Khoshaba accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 6 other insurers list Evileen Khoshaba 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 Evileen Khoshaba was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Evileen Khoshaba · NPI 1992630685
Optometrist provider in Commerce Township, Michigan. Individual provider, active in the CMS NPPES registry since June 15, 2026.
## Identity
- **NPI:** 1992630685 (Entity type: Individual)
- **Enumerated:** June 15, 2026
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901005937 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 5968 MAJESTIC OAKS DR, Commerce Township, MI 48382-5118
- **Phone:** (248) 747-1210
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** P-Cor, LLC (NPI 1821481078, Commerce Township, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** June 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1992630685) · Data from the CMS NPPES public registry.