MS. ANNALIESE GRACE KHEMMORO
NPI 1548076268
Physician Assistant in Ferndale, MI

Q: What is Annaliese Khemmoro's NPI number?

The NPI number for Annaliese Khemmoro is 1548076268. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Q: What is Annaliese Khemmoro's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since December 06, 2024PECOS Enrolled

911 E 9 MILE RD, FERNDALE, MI 48220(248) 336-4000(248) 336-9137 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Dec 6, 2024 (2 updates tracked since 2024).

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About Ms. Annaliese Grace Khemmoro NPPES

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

MS. ANNALIESE GRACE KHEMMORO (NPI 1548076268) is an individual physician assistant in Ferndale, Michigan, licensed in Michigan (5601012844) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548076268

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. ANNALIESE GRACE KHEMMORO

Location Address911 E 9 MILE RDFerndale, MI 48220-1934

Mailing Address18000 W 9 Mile Rd Ste 200Southfield, MI 48075-4020 · (248) 336-4000 · Fax (248) 336-9137

Phone(248) 336-4000

Fax(248) 336-9137

Sole ProprietorNo

Enumeration DateDecember 6, 2024

Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1548076268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601012844

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

911 E 9 MILE RD, Ferndale, MI 48220

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Ms. Annaliese Grace Khemmoro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48220 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

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.

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