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KIMBERLEY DEMERLE M.D.
NPI 1013328335
Internal Medicine - Pulmonary Disease in Saint Clair Shores, MI

Active since May 09, 2014PECOS EnrolledAccepts Medicare Assignment
21000 E 12 MILE RD STE 112, SAINT CLAIR SHORES, MI 48081(586) 772-5550(877) 673-3562 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, Jul 10, 2023, May 4, 2023 and 1 more (4 updates tracked since 2016).

About Kimberley Demerle M.d. NPPES

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

KIMBERLEY DEMERLE M.D. (NPI 1013328335) is an individual pulmonary disease provider in Saint Clair Shores, Michigan, licensed in Michigan (4301508736) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Wayne State University School Of Medicine (2014).

NPPES Registry Identity

NPI1013328335
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameKIMBERLEY DEMERLECredential: M.D.
Location Address21000 E 12 MILE RD STE 112Saint Clair Shores, MI 48081-1156
Mailing Address50505 Schoenherr Rd Ste 290Shelby Township, MI 48315-3141 · (586) 314-0080 · Fax (877) 673-3562
Phone(586) 772-5550
Fax(877) 673-3562
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2014
Enumeration DateMay 9, 2014
Last NPPES UpdateMarch 11, 20254 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1013328335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MI · 4301508736
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
21000 E 12 MILE RD STE 112, Saint Clair Shores, MI 48081
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Kimberley Demerle M.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 ID3476858374
PECOS Enrollment IDI20230505001276
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
397 services153 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
136 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
72 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services51 patients

Hospital Affiliations CMS Care Compare 4

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

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

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

DR. CHRISTOPHER W HUGHES M.D.
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 314-0080
DR. RENE FRANCO-ELIZONDO MD
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 772-5550
MOHAMMAD KOUSHA M.D.
Internal Medicine
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 314-0080
DR. AMREETA VASHTI SHARMA MD
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 314-0080
DR. WILLIAM A VENTIMIGLIA M.D.
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 314-0080
CHRISTINE MARIE PLICHTA
Internal Medicine
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 772-5550
DR. SAMER ALSAMMAN
Internal Medicine (Pulmonary Disease)
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 314-0080
DR. MOHAMED BOSHER MANSOUR MD
Internal Medicine
21000 E 12 MILE RD STE 112
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 772-5550

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 Kimberley Demerle's NPI number?

The NPI number for Kimberley Demerle is 1013328335. It was assigned to this individual provider in the NPPES registry on May 9, 2014.

Where is Kimberley Demerle located?

Kimberley Demerle practices at 21000 E 12 Mile Rd Ste 112, Saint Clair Shores, MI 48081. The listed phone number is (586) 772-5550.

What is Kimberley Demerle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kimberley Demerle enrolled in Medicare?

Yes. Kimberley Demerle 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 Kimberley Demerle accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Kimberley Demerle 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 Kimberley Demerle affiliated with any hospitals?

According to CMS data, Kimberley Demerle is affiliated with Beaumont Hospital - Grosse Pointe, Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Kimberley Demerle was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.