Active NPI
Jennifer Lynn Khawand, D.O.
- Emergency Medicine Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OP60544675
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OP60544675 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Emergency Room Physicians, Inc P.S. | Emergency Medicine | Current | Accepting new patients |
| Highline Emergency Physicians PLLC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Renton, WA
- NPI 1861480840
-
- Emergency Medicine Physician
- Burien, WA
- NPI 1669757290
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burien, WA
- NPI 1558333682
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.