EPMG SOUTHWEST MICHIGAN PLLC – Emergency Medicine Physician, NPI 1316405103
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EPMG SOUTHWEST MICHIGAN PLLC
5301 E HURON RIVER RD
ANN ARBOR, MI 48106
Phone: (954) 838-2371
Type: Location
PO BOX 80307
PHILADELPHIA, PA 191011307
Phone: (954) 939-5000
Fax: (877) 250-6889
Type: Mailing
Green Road, Ann Arbor, Washtenaw County, Michigan, 48105, United States
ANN ARBOR, MI 481051575
Phone: (734) 686-6322
Type: Mailing
31 N Saint Joseph Ave
Niles, MI 491202207
Phone: (954) 939-5000
Fax: (877) 250-6889
Type: Location
400 Medical Park Dr
Watervliet, MI 490989225
Phone: (954) 939-5000
Fax: (877) 250-6889
Type: Location
PO BOX 782002
PHILADELPHIA, PA 191782002
Phone: (954) 939-5000
Fax: (877) 250-6889
Type: Mailing
1234 NAPIER AVE
SAINT JOSEPH, MI 490852112
Phone: (954) 939-5000
Fax: (877) 250-6889
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: 2019-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (650 days ago).
Enrollment records
1
Earliest due date
2024-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190806002532 | O | Clinic/Group Practice | MI | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 48106)
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