EMMANUEL O EMENIKE (M.D.) – Internal Medicine Physician, NPI 1770570442

EMMANUEL O EMENIKE (M.D.) is a healthcare provider. based in Los angeles, California. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. A92212 (CA). The NPI Number for EMMANUEL O EMENIKE (M.D.) is 1770570442

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
EMMANUEL O EMENIKE (M.D.)
NPI
1770570442
Phone
(310) 340-5510
Address
11693 SAN VICENTE BLVD # 112
Enumeration Date
28 September 2005
Last Update Date
9 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3108018333
Graduation Year
1989 (37 years ago)
PAC ID
8224069018
Group Practice PAC ID
1951685627
Professional Enrollment ID
I20051018000418
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for EMMANUEL O EMENIKE (M.D.)

  • 112, San Vicente Boulevard, Pico-Robertson, Los Angeles, Los Angeles County, California, 90211, United States

    LOS ANGELES, CA 900495105

    Phone: (310) 340-5510

    Type: Mailing

  • 11677 SAN VICENTE BLVD

    STE 301

    LOS ANGELES, CA 900495124

    Phone: (310) 340-5510

    Type: Location

  • 1762 Westwood Blvd

    Los Angeles, CA 90024

    Phone: (310) 340-5510

    Type: Location

  • 4954 VAN NUYS BLVD STE 202

    SHERMAN OAKS, CA 91403

    Phone: (310) 340-5510

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,350.

Total Amount is formed as General ($1,350) + Research ($0) + Ownership ($0) = $1,350.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Medtronic, Inc. ($909).

Total Amount

$1,350

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,350

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-10-18

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
I20051018000418IInternal MedicineCATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2818$0
99214Established patient office or other outpatient visit, 30-39 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 90049)

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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: 1951685627View full group profile

Reviews

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Frequently asked questions

What is the registry number for EMMANUEL O EMENIKE (M.D.)?
The registry entry for EMMANUEL O EMENIKE (M.D.) shows NPI 1770570442.
Should I treat EMMANUEL O EMENIKE (M.D.) as an active provider?
Patients and plans typically see EMMANUEL O EMENIKE (M.D.) as active in the national extract.
What type of care does EMMANUEL O EMENIKE (M.D.) provide?
EMMANUEL O EMENIKE (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is EMMANUEL O EMENIKE (M.D.) tied to Los Angeles, California?
If you are local to Los Angeles, California, EMMANUEL O EMENIKE (M.D.) may be relevant to your search.
Who maintains EMMANUEL O EMENIKE (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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