ALISSA DIMICHELE (D.O) – Emergency Medicine Physician, NPI 1235661703

ALISSA DIMICHELE (D.O) is a healthcare provider. based in Clinton township, Michigan. specializing in Emergency Medicine Physician. They hold the professional credentials D.O. They hold a License No. 5101024924 (MI). The NPI Number for ALISSA DIMICHELE (D.O) is 1235661703

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA DIMICHELE (D.O)
NPI
1235661703
Phone
(586) 263-2950
Address
15855 NINETEEN MILE ROAD
Enumeration Date
3 April 2017
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8104962500
Graduation Year
2017 (9 years ago)
PAC ID
9032489224
Group Practice PAC ID
7618251398
Professional Enrollment ID
I20200804000775
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for ALISSA DIMICHELE (D.O)

  • 15855 NINETEEN MILE ROAD

    CLINTON TOWNSHIP, MI 48038

    Phone: (586) 263-2950

    Type: Mailing

  • 15855 19 MILE RD

    CLINTON TOWNSHIP, MI 480383504

    Phone: (586) 263-2950

    Type: Mailing

  • Henry Ford Macomb Hospital, 15855, 19 Mile Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TOWNSHIP, MI 480383504

    Phone: (586) 263-2950

    Type: Location

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: 2020-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200804000775IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making178175$0
99284Emergency department visit with moderate level of medical decision making6262$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2121$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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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: 7618251398View full group profile

Reviews

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Frequently asked questions

How is ALISSA DIMICHELE (D.O) identified in CMS data?
CMS-hosted NPPES data lists ALISSA DIMICHELE (D.O) with NPI 1235661703.
Can I rely on ALISSA DIMICHELE (D.O) being an active provider?
As of the registry snapshot, ALISSA DIMICHELE (D.O) is marked active.
What is ALISSA DIMICHELE (D.O)'s specialty?
The listing groups ALISSA DIMICHELE (D.O) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ALISSA DIMICHELE (D.O) on a map?
Expect Clinton Township, Michigan as a primary anchor for ALISSA DIMICHELE (D.O) unless the record lists multiple sites.
Is the information about ALISSA DIMICHELE (D.O) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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