NIHARIKA R SAMALA MD
NPI 1023266541
Internal Medicine - Gastroenterology in Royal Oak, MI

Active since September 09, 2008PECOS EnrolledAccepts Medicare Assignment
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-5000 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2025, Feb 8, 2022, Jan 4, 2021 (3 updates tracked since 2021).

About Niharika R Samala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIHARIKA R SAMALA MD (NPI 1023266541) is an individual gastroenterology provider in Royal Oak, Michigan, licensed in Indiana (01073844A) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1023266541
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameNIHARIKA R SAMALACredential: MD
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 9, 2008
Last NPPES UpdateMarch 7, 20253 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
NPI 1023266541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IN · 01073844A
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301092135 (MI), 01073844A (IN)
3601 W 13 MILE RD, Royal Oak, MI 48073

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Niharika R Samala Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527357185
PECOS Enrollment IDI20161019001393
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
65 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services50 patients
Measurement of liver stiffness 91200
Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.
41 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services31 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Niharika Samala's NPI number?

The NPI number for Niharika Samala is 1023266541. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Niharika Samala located?

Niharika Samala practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-5000.

What is Niharika Samala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Niharika Samala enrolled in Medicare?

Yes. Niharika Samala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Niharika Samala accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Niharika Samala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Niharika Samala affiliated with any hospitals?

According to CMS data, Niharika Samala is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health, Indiana University Health Ball Memorial Hospital, Iu Health West Hospital and Indiana University Health North Hospital.

When was this NPI record last updated?

The NPPES record for Niharika Samala was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.