DAVID JOSEPH SAMRAH (MD) – Internal Medicine Physician, NPI 1124606751

DAVID JOSEPH SAMRAH (MD) is a healthcare provider. based in Saint clair shores, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301511171 (MI). The NPI Number for DAVID JOSEPH SAMRAH (MD) is 1124606751

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DAVID JOSEPH SAMRAH (MD)
NPI
1124606751
Phone
Not provided
Address
918 COUNTRY CLUB DR
Enumeration Date
2 April 2021
Last Update Date
11 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489530526
Graduation Year
2020 (6 years ago)
PAC ID
2163823840
Group Practice PAC ID
2668873191
Professional Enrollment ID
I20240717003242
Address ID
MI483043681BL5045XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for DAVID JOSEPH SAMRAH (MD)

  • 918 COUNTRY CLUB DR

    SAINT CLAIR SHORES, MI 480822929

    Phone:

    Type: Mailing

  • 31200 DEQUINDRE RD

    WARREN, MI 480921344

    Phone: (586) 939-1800

    Type: Location

  • 1101 W University Dr

    Rochester, MI 483071863

    Phone: (248) 601-4805

    Type: Location

  • 1101 W UNIVERSITY DR

    ROCHESTER, MI 483071863

    Phone: (248) 601-4805

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Organon LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$15
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: 2024-07-17

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
I20240717003242IInternal 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48082)

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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: 2668873191View full group profile
NameSpecialtyState
Internal MedicineMI
Hospitalist, Internal MedicineMI
Internal MedicineMI
Internal Medicine, HospitalistMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I cross-check DAVID JOSEPH SAMRAH (MD) using NPI 1124606751?
NPI 1124606751 belongs to DAVID JOSEPH SAMRAH (MD); compare other details if you need extra assurance.
Is DAVID JOSEPH SAMRAH (MD) still an active registrant?
DAVID JOSEPH SAMRAH (MD) carries an active NPI according to the public dataset.
What expertise is attributed to DAVID JOSEPH SAMRAH (MD)?
DAVID JOSEPH SAMRAH (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DAVID JOSEPH SAMRAH (MD) located near Saint Clair Shores?
DAVID JOSEPH SAMRAH (MD) currently maps to Saint Clair Shores, Michigan in this extract.
Can I trust this NPI listing for DAVID JOSEPH SAMRAH (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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