DR. SAMRAJA EMERSON (MD) – Internal Medicine Physician, NPI 1235165093

DR. SAMRAJA EMERSON (MD) is a healthcare provider. based in Niles, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301080738 (MI). The NPI Number for DR. SAMRAJA EMERSON (MD) is 1235165093

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMRAJA EMERSON (MD)
NPI
1235165093
Phone
(269) 687-1136
Address
PO BOX 458
Enumeration Date
24 June 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2699838300
Graduation Year
2005 (21 years ago)
PAC ID
0244256048
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20051020000948
Address ID
MI490852112SA1234XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for DR. SAMRAJA EMERSON (MD)

  • PO BOX 458

    NILES, MI 491200458

    Phone: (269) 687-1136

    Fax: (269) 684-0189

    Type: Mailing

  • Lakeland Medical Center, 1234, Napier Avenue, Saint Joseph, Berrien County, Michigan, 49085, United States

    SAINT JOSEPH, MI 490852112

    Phone: (269) 471-1700

    Fax: (269) 471-1975

    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: 2005-10-20

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
I20051020000948IInternal 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes298132$0
99238Hospital discharge day management, 30 minutes or less110108$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 49120)

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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: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI
-MI
Physician AssistantMI
Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What is the standard ID for DR. SAMRAJA EMERSON (MD) in the U.S.?
In the U.S., DR. SAMRAJA EMERSON (MD) is identified by NPI 1235165093.
Does the public listing show DR. SAMRAJA EMERSON (MD) as active?
DR. SAMRAJA EMERSON (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. SAMRAJA EMERSON (MD)'s specialty?
The extract shows Internal Medicine Physician for DR. SAMRAJA EMERSON (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. SAMRAJA EMERSON (MD)?
The directory associates DR. SAMRAJA EMERSON (MD) with Niles, Michigan. Check all listed addresses for suites or satellite offices.
Can I export DR. SAMRAJA EMERSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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