Active NPI
Christine Khamis, PA-C
- Physician Assistant
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601006597
- Practice address
- 755 W Big Beaver Rd Ste 2020
Troy, MI 48084-4925 - Phone
- (888) 803-3370
- Fax
- (888) 803-3331
- NPI assigned
- Jan 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 026282 | NY | |
| Physician Assistant | 363A00000X | PA56760 | CA | |
| Physician Assistant | 363A00000X | 5601006597 | MI | Primary |
Addresses
Primary practice location
755 W Big Beaver Rd Ste 2020
Troy, MI 48084-4925
Mailing address
333 1St St Ste a
San Francisco, CA 94105-2661
Other practice location 1
415 N Beverly Dr # Ca90210
Beverly Hills, CA 90210-4600
Phone (888) 803-3370
Other practice location 2
333 1st St Ste A
San Francisco, CA 94105-2661
Phone (888) 803-3370
Other practice location 3
65 W 36th St
New York, NY 10018-7902
Phone (888) 803-3370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285972380 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 1St St
Suite a
San Francisco, CA 94105-2661
Phone (888) 803-3370
333 1St St a
San Francisco, CA 94105-2661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56760 | CA | MD | Pharmacist |
| PA56760 | CA | MD | Physician Assistant |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1134596091
-
- Family Medicine Physician
- New York, NY
- NPI 1780425447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1285972380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 1ST ST STE A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941052661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 W BIG BEAVER RD STE 2020",
"city": "TROY",
"state": "MI",
"postal_code": "480844925",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331"
}
],
"practiceLocations": [
{
"address_1": "415 N Beverly Dr # Ca90210",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902104600",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 1st St Ste A",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941052661",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "65 W 36th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100187902",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAMIS",
"first_name": "CHRISTINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-24",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "026282",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA56760",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285972380",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.