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CHRISTIAN MAZIN KHMORO DO
NPI 1891637245
Internal Medicine in Southfield, MI

Active since April 06, 2026PECOS Enrolled
22250 PROVIDENCE DR STE 301, SOUTHFIELD, MI 48075(248) 849-3281(248) 849-5449 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Apr 6, 2026 (2 updates tracked since 2026).

About Christian Mazin Khmoro Do NPPES

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

CHRISTIAN MAZIN KHMORO DO (NPI 1891637245) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (5151018168) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891637245
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHRISTIAN MAZIN KHMOROCredential: DO
Location Address22250 PROVIDENCE DR STE 301Southfield, MI 48075-6211
Mailing Address22250 Providence Dr Ste 301Southfield, MI 48075-6211 · (248) 849-3281 · Fax (248) 849-5449
Phone(248) 849-3281
Fax(248) 849-5449
Sole ProprietorNo
Enumeration DateApril 6, 2026
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1891637245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5151018168
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22250 PROVIDENCE DR STE 301, Southfield, MI 48075
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Mazin Khmoro Do 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 48075 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 15

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

MR. AMMAR WADI ALKHAFAJI MD
Internal Medicine
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Oakland County (248) 849-3281
SALAM BRIKHO M.D., M.S.
General Practice
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Oakland County (248) 849-3281
ANDREW BACHA
Internal Medicine
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Oakland County (248) 849-3281
DR. JOELLE FAKIH MD
Internal Medicine
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Oakland County (248) 849-3281
JIRIES ISSA HADDAD DO
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Oakland County (248) 849-3281
JACOB ALEX
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Oakland County (248) 849-4818
JEREMY REID HEFFERNAN M.D.
Internal Medicine
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Oakland County (248) 849-3281
DR. ABHISHEK SUSHIL SHASTRY DO
Internal Medicine
22250 PROVIDENCE DR STE 301
SOUTHFIELD, MI 48075
Oakland County (248) 849-3281

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 Christian Khmoro's NPI number?

The NPI number for Christian Khmoro is 1891637245. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Christian Khmoro located?

Christian Khmoro practices at 22250 Providence Dr Ste 301, Southfield, MI 48075. The listed phone number is (248) 849-3281.

What is Christian Khmoro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Christian Khmoro enrolled in Medicare?

Yes. Christian Khmoro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christian Khmoro was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.