Annaliese Grace Khemmoro
NPI 1548076268ActiveIndividual· Physician Assistant· Ferndale, MI
Physician Assistant in Ferndale, Michigan, licensed in MI, with an NPI issued in December 2024. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1548076268 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 6, 2024 |
| Last updated in NPPES | Dec 16, 2025 |
| Certified by provider | Dec 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601012844 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Ferndale
- 1902491244
- 1225983083
- 1871329433
- 1295132926
- 1457883274
- 1265615470
- 1992583793
- 1417612136
- 1013866607
- 1629633359
- 1659942357
- 1831887603