SAMUEL RATERINK (MD) – Student in an Organized Health Care Education/Training Program, NPI 1154062263

SAMUEL RATERINK (MD) is a healthcare provider. based in Detroit, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. The NPI Number for SAMUEL RATERINK (MD) is 1154062263

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL RATERINK (MD)
NPI
1154062263
Phone
(313) 343-7774
Address
22201 MOROSS RD STE 50
Enumeration Date
5 April 2022
Last Update Date
5 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6035697500
Graduation Year
2022 (4 years ago)
PAC ID
6608255344
Group Practice PAC ID
7719397835
Professional Enrollment ID
I20250806003788
Address ID
NH038944411WO240XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for SAMUEL RATERINK (MD)

  • 22201 MOROSS RD STE 50

    DETROIT, MI 482362166

    Phone: (313) 343-7774

    Fax: (313) 343-8747

    Mailing address matches the actual address.

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: 2025-08-06

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
I20250806003788IInternal MedicineNHTBD

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 48236)

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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: 7719397835View full group profile
NameSpecialtyState
Internal MedicineRI
Internal MedicineNY
Internal MedicineMA
Internal MedicineNJ

Reviews

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Frequently asked questions

Does SAMUEL RATERINK (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SAMUEL RATERINK (MD) uses 1154062263.
Does CMS list SAMUEL RATERINK (MD) as active?
Yes — SAMUEL RATERINK (MD) is active in the NPI listing used on this page.
What is SAMUEL RATERINK (MD)'s specialty?
The listing groups SAMUEL RATERINK (MD) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Does SAMUEL RATERINK (MD) list a practice location?
Patients near Detroit, Michigan may find SAMUEL RATERINK (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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