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Active NPI 1225676752 Individual Practitioner Female Practitioner

Mckenna Kate Komro , PA-C

Physician Assistant • Warren, MI

Professional Overview & Biography Verified Profile Summary

Mckenna Komro, PA-C is a registered healthcare professional specializing in Physician Assistant in Warren, MI. Practice services are available at 11900 E 12 MILE RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11900 E 12 Mile Rd

Warren, MI 480933400

Telephone 5868047525
Associated Practice Facility / Clinic
🏢 South Macomb Internists, P.c. Facility NPI 1366436511

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Warren, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
66 Specialists

Practicing in Warren, MI (7057 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
33.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
219 201 $155.00 $112.42
93000 Routine ekg using at least 12 leads including interpretation and report
170 162 $32.00 $13.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
38 38 $223.00 $148.50

Medical Specialties & State Licenses

CMS Verified: 2026-01-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601010464

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Firas Zahwe , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1093941395

Doctor of Medicine (M.D.)

Christine Hawring , FNP-BC

Nurse Practitioner - Family

NPI 1174343693

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 19, 2026

Registered at 11900 E 12 MILE RD, WARREN, MI 480933400 (Tel: 5868047525)

📍
Updated Business Mailing Address January 19, 2026

Registered at 11900 E 12 MILE RD, WARREN, MI 480933400 (Tel: 5868047525)

👤
Provider Name / Credentials Updated January 19, 2026

Recorded as MCKENNA KOMRO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2026

Physician Assistant (License #5601010464 in MI)

NPI Profile Active December 16, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2019

Registered at 13460 N. 94TH DRIVE, STE J-1, PEORIA, AZ 853814246 (Tel: 6238768816)

📍
Updated Business Mailing Address December 16, 2019

Registered at 13460 N. 94TH DRIVE, STE J-1, PEORIA, AZ 853814246 (Tel: 6238768816)

👤
Provider Name / Credentials Updated December 16, 2019

Recorded as MCKENNA GRUBER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2019

Physician Assistant (License #7506 in AZ)

🟢
Initial NPI Registration & Enumeration December 16, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225676752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2019
Last Update: January 19, 2026
Sole Proprietor: No

Mailing Address

11900 E 12 Mile Rd

Warren, MI 480933400

Phone: 5868047525

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.