Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johnene K Koganti, MS, PA-C

Individual provider Physician Assistant · NPI 1528298692

Johnene K Koganti, MS, PA-C is a Physician Assistant in Detroit, Michigan. Qualified in 2009, 17 years ago. Practices with Nsa Pain Services of Michigan III, PLLC, a 17-clinician group. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3901 Beaubien St Anesthesiology Dept (pain Clinic)
Detroit, MI 48201-2119
Phone: (248) 376-4016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005495 (MI)

Record details

NPI number1528298692
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorNo
NPI enumeratedJuly 22, 2009
Last updated in NPPESJuly 22, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Nsa Pain Services Of Michigan Iii, Pllc — 17 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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