Individual provider Active NPI

Phoebe Marcella Knight, PA-C

  • Medical Physician Assistant
  • Novi, MI
National Provider Identifier
1497418180
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601010859 Issued in MI
Practice address
46325 W 12 Mile Rd Ste 370
Novi, MI 48377-2464
Phone
(248) 482-2103
NPI assigned
Oct 19, 2021
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601010859 MI Primary

Addresses

Primary practice location

46325 W 12 Mile Rd Ste 370
Novi, MI 48377-2464

Mailing address

6330 Orchard Lake Rd Ste 120
West Bloomfield, MI 48322-2398
Phone (248) 462-6045

Other names 1

  • Phoebe Marcella Mularoni Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220118001636 MI Practitioner - Physician Assistant 4082006358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Dermatology and Pathology PLLCGroup PAC ID 0446330492, 49 clinicians

Practice addresses (Care Compare)

31275 Northwestern Hwy
Suite 140
Farmington Hills, MI 48334-2531
Phone (248) 538-0109

43900 Garfield Rd
Clinton Township, MI 48038-1137
Phone (586) 286-0112

46325 W 12 Mile Rd
Suite 370 Associated Dermatologists
Novi, MI 48377-2464
Phone (248) 482-2107

9640 Commerce Rd
Suite 100
Commerce Township, MI 48382-4167
Phone (248) 482-2101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.46 of 100Reported as group
Quality
91.13
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald D Kerwin MD PC Single Specialty CurrentSince Oct 24, 2021 Accepting new patients
Michigan Center for Dermatology & Pathology, PLLC Single Specialty Past Accepting new patients

Locations

46325 W Twelve Mile Rd
Ste 370
Novi, MI 48377
Phone (248) 482-2103

Interoperability endpoints

  • Direct secure messaging: pmularoni@mwcd.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1497418180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 ORCHARD LAKE RD STE 120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222398",
            "telephone_number": "248-462-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD STE 370",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772464",
            "telephone_number": "248-482-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "PHOEBE",
        "middle_name": "MARCELLA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601010859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHOEBE",
            "last_name": "MULARONI",
            "middle_name": "MARCELLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.