Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KERIAH KHAIRI SOURIAL PA-C
NPI 1801495023
Physician Assistant in Columbus, OH

Q: What is Keriah Sourial's NPI number?

The NPI number for Keriah Sourial is 1801495023. It was assigned to this individual provider in the NPPES registry on October 19, 2020. The provider is also known as Keriah Khairi Abd Pa-C.

Q: What is Keriah Sourial's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keriah Sourial was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.

Active since October 19, 2020PECOS EnrolledAccepts Medicare Assignment

460 W 10TH AVE, COLUMBUS, OH 43210(614) 293-4969(614) 293-6111 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2022, Jun 28, 2021, Jun 14, 2021 and 1 more (4 updates tracked since 2020).

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About Keriah Khairi Sourial Pa-c NPPES

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

KERIAH KHAIRI SOURIAL PA-C (NPI 1801495023) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.009943RX) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801495023

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKERIAH KHAIRI SOURIALCredential: PA-C

Location Address460 W 10TH AVEColumbus, OH 43210-1240

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4969 · Fax (614) 293-6111

Phone(614) 293-4969

Fax(614) 293-6111

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 19, 2020

Last NPPES UpdateJune 26, 20264 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1801495023 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 OH · 50.009943RX

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.

460 W 10TH AVE, Columbus, OH 43210

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Other Names 1

Former Name (1)Keriah Khairi Abd Pa-c

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

Keriah Khairi Sourial Pa-c 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 ID9133520018

PECOS Enrollment IDI20210629003433

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

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.

227 services220 patients

Hospital Affiliations CMS Care Compare

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

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 43210 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $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.

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.

CHIEMEZIE CHIANOTU AMADI MD

Radiology (Diagnostic Radiology)