KIMBERLEY DEMERLE (M.D.) – Pulmonary Disease Physician, NPI 1013328335

KIMBERLEY DEMERLE (M.D.) is a healthcare provider. based in Saint clair shores, Michigan. specializing in PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301508736 (MI). The NPI Number for KIMBERLEY DEMERLE (M.D.) is 1013328335

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLEY DEMERLE (M.D.)
NPI
1013328335
Phone
(586) 772-5550
Address
21000 E 12 MILE RD STE 112
Enumeration Date
9 May 2014
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5864455995
Graduation Year
2014 (12 years ago)
PAC ID
3476858374
Group Practice PAC ID
0547250607
Professional Enrollment ID
I20230505001276
Address ID
MI480664993RO25689RDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

657 PULMONARY DISEASE in MI

Provider Addresses for KIMBERLEY DEMERLE (M.D.)

  • 21000 E 12 MILE RD STE 112

    SAINT CLAIR SHORES, MI 480811156

    Phone: (586) 772-5550

    Fax: (877) 673-3562

    Type: Location

  • 1500 E MEDICAL CENTER DR

    3116 TAUBMAN CTR, SPC 5368

    ANN ARBOR, MI 481095000

    Phone:

    Type: Mailing

  • 50505 SCHOENHERR RD STE 290

    SHELBY TOWNSHIP, MI 483153141

    Phone: (586) 314-0080

    Fax: (877) 673-3562

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191230000346ICritical Care (Intensivists)PATBD
I20230505001276IPulmonary DiseaseMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes13863$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11952$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5135$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 48081)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547250607View full group profile
NameSpecialtyState
Pulmonary DiseaseMI
Pulmonary DiseaseMI
Nurse PractitionerMI
-MI
Pulmonary Disease, Critical Care (Intensivists)MI
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseMI
Pulmonary Disease, Internal MedicineMI
Pulmonary Disease, Critical Care (Intensivists)MI
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseMI
Pulmonary DiseaseMI

Reviews

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Frequently asked questions

What is the registry number for KIMBERLEY DEMERLE (M.D.)?
The registry entry for KIMBERLEY DEMERLE (M.D.) shows NPI 1013328335.
Is KIMBERLEY DEMERLE (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists KIMBERLEY DEMERLE (M.D.) as active.
What services align with KIMBERLEY DEMERLE (M.D.)'s listing?
KIMBERLEY DEMERLE (M.D.)'s public classification highlights Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KIMBERLEY DEMERLE (M.D.)?
KIMBERLEY DEMERLE (M.D.) shows a connection to Saint Clair Shores, Michigan in registry-derived data.
Can I export KIMBERLEY DEMERLE (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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