DR. SAMANTHA M DEWAN D.O.
NPI 1568784379
Internal Medicine in Detroit, MI
About Dr. Samantha M Dewan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMANTHA M DEWAN D.O. (NPI 1568784379) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (5101017982) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Samantha M Dewan D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Dewan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48201
- Reassigned Medicare billing, Michigan enrollment
- 83 clinicians in this Medicare group
Southfield, MI 48034
- Reassigned Medicare billing, Michigan enrollment
- 407 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Samantha Dewan's NPI number?
The NPI number for Samantha Dewan is 1568784379. It was assigned to this individual provider in the NPPES registry on February 20, 2010.
Where is Samantha Dewan located?
Samantha Dewan practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-9080.
What is Samantha Dewan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Samantha Dewan enrolled in Medicare?
Yes. Samantha Dewan 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.
Which organizations bill Medicare for Samantha Dewan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Dewan reassigns Medicare benefits to 2 organizations: Michigan Emergency Services (Detroit, MI) and Vhs Physicians Of Michigan (Southfield, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Dewan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Dewan was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Dr. Samantha M Dewan, D.O. · NPI 1568784379
Internal Medicine physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since February 20, 2010.
## Identity
- **NPI:** 1568784379 (Entity type: Individual)
- **Enumerated:** February 20, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 5101017982 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3990 JOHN R ST, Detroit, MI 48201-2018
- **Phone:** (313) 745-9080
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Michigan Emergency Services (NPI 1316968191, Detroit, MI); Vhs Physicians Of Michigan (NPI 1073827101, Southfield, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2008
## Record status
- **NPPES last updated:** September 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1568784379) · Data from the CMS NPPES public registry.