MARISA KHAMIS PA
NPI 1356149066
Physician Assistant - Surgical in Washington, DC

Active since March 06, 2025PECOS Enrolled
2121 I ST NW, WASHINGTON, DC 20052(202) 994-2960 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marisa Khamis Pa NPPES

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

MARISA KHAMIS PA (NPI 1356149066) is an individual surgical provider in Washington, District Of Columbia, licensed in District Of Columbia (PA200002377) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1356149066
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMARISA KHAMISCredential: PA
Location Address2121 I ST NWWashington, DC 20052-0086
Mailing Address3800 Reservoir Rd NwWashington, DC 20007-2113 · (734) 516-9486
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 6, 2025
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
NPI 1356149066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in DC · PA200002377
2121 I ST NW, Washington, DC 20052

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marisa Khamis Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931681343
PECOS Enrollment IDI20260304003849
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.

Other Providers at the Same Location NPPES 9

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

Physician Assistant
2121 I ST NW
WASHINGTON, DC 20052
Specialist/Technologist (Athletic Trainer)
2121 I ST NW
WASHINGTON, DC 20052
Pathology (Anatomic Pathology & Clinical Pathology)
2121 I ST NW, THE GEORGE WASHINGTON UNIVERSITY
WASHINGTON, DC 20052
Nurse Practitioner (Family)
2121 I ST NW
WASHINGTON, DC 20052
Student in an Organized Health Care Education/Training Program
2121 I ST NW
WASHINGTON, DC 20052
Nurse Practitioner
2121 I ST NW
WASHINGTON, DC 20052
Physician Assistant
2121 I ST NW
WASHINGTON, DC 20052
Registered Nurse (Medical-Surgical)
2121 I ST NW
WASHINGTON, DC 20052

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 Marisa Khamis's NPI number?

The NPI number for Marisa Khamis is 1356149066. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Marisa Khamis located?

Marisa Khamis practices at 2121 I St NW, Washington, DC 20052. The listed phone number is (202) 994-2960.

What is Marisa Khamis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Marisa Khamis enrolled in Medicare?

Yes. Marisa Khamis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marisa Khamis was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.