Individual provider Active NPI

Jennifer Lynn Khawand, D.O.

  • Emergency Medicine Physician
  • Livonia, MI
National Provider Identifier
1639478951
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OP60544675 Issued in WA
Practice address
36475 Five Mile Rd
St. Mary Mercy Hospital
Livonia, MI 48154-1971
Phone
(734) 655-2789
Fax
(734) 655-8430
NPI assigned
Mar 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OP60544675 WA Primary

Addresses

Primary practice location

36475 Five Mile Rd
St. Mary Mercy Hospital
Livonia, MI 48154-1971

Mailing address

36475 Five Mile Rd
St. Mary Mercy Hospital
Livonia, MI 48154-1971
Phone (734) 655-2789

Other names 1

  • Jennifer Lynn Alonso Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150921000521 WA Practitioner - Emergency Medicine 9537394655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern Univ College of Dental Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highline Emergency Physicians PLLCGroup PAC ID 0547436313, 19 clinicians
Associated Emergency Room Physicians Inc PSGroup PAC ID 7911892054, 28 clinicians

Practice addresses (Care Compare)

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 431-5314

400 S 43Rd St
Renton, WA 98055-5714
Phone (425) 228-3440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.72 of 100Reported as group
Quality
67.35
Improvement activities
40
Cost
85.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60544675WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Emergency Room Physicians, Inc P.S. Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Highline Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 29, 2015 Accepting new patients

Locations

25246 Network Pl
Chicago, IL 60673

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

12844 Military Rd S
Tukwila, WA 98168
Phone (206) 244-0180

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.

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": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1639478951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36475 FIVE MILE RD",
            "address_2": "ST. MARY MERCY HOSPITAL",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-2789",
            "fax_number": "734-655-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 FIVE MILE RD",
            "address_2": "ST. MARY MERCY HOSPITAL",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-2789",
            "fax_number": "734-655-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAWAND",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP60544675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ALONSO",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.