Katelyn Khemmoro, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601012088 Issued in MI

Practice address

11012 E 13 Mile Rd Ste 112
Warren, MI 48093-2546

Phone

(586) 573-6880

NPI assigned

Oct 11, 2023

Last updated

Feb 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Surgery Specialists PCGroup PAC ID 7113835075, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Michigan Surgery Specialists, P.C.

  • Surgery Physician
  • Warren, MI
  • NPI 1184828451
  Medicare reassignment Care Compare group
• Healthy Urgent Care, PLLC

  dba Healthy Urgent Care

  • Urgent Care Clinic/Center
  • New Hudson, MI
  • NPI 1124266754
  Medicare reassignment
• Michigan Surgery Specialists, P.C.

  dba Motus Rehabilitation

  • Prosthetic/Orthotic Supplier
  • Farmington Hills, MI
  • NPI 1700624079
  NPD

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

• William Beaumont Hospital

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1811044878
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1720869118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 TIMBERWOOD S",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222007",
            "telephone_number": "248-513-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD STE 112",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932546",
            "telephone_number": "586-573-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEMMORO",
        "first_name": "KATELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanifa Khanam
• Khantherapy
• Shabbir V Khatri, PT
• Haseeb A Khawaja, MD
• Parnian Kheirkhah Rahimabad, MD, PHD
• Hassan Sami Khreizat, PHARM.D.
• Myrosia L Kidd, MSW
• Kidney Centers of Michigan LLC (Macomb Kidney Center)
• Clare Kilgore
• Michael R. Kiluk, R.PH.

• Physician Assistant in Warren, MI
• Providers in Warren, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.

Verify at the official NPI Registry.