JARED EMERSON DO
NPI 1629768916
Pediatrics in Southgate, MI
About Jared Emerson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARED EMERSON DO (NPI 1629768916) is an individual pediatrics provider in Southgate, Michigan, licensed in Michigan (5101029449) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jared Emerson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jared Emerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 453 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 48195 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 3
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 Jared Emerson's NPI number?
The NPI number for Jared Emerson is 1629768916. It was assigned to this individual provider in the NPPES registry on May 10, 2023.
Where is Jared Emerson located?
Jared Emerson practices at 15777 Northline Rd Ste 200, Southgate, MI 48195. The listed phone number is (734) 246-8100.
What is Jared Emerson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jared Emerson enrolled in Medicare?
Yes. Jared Emerson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jared Emerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jared Emerson reassigns Medicare benefits to Oakwood Ambulatory LLC (Dearborn, MI). The 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 Jared Emerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jared Emerson accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Jared Emerson 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.
When was this NPI record last updated?
The NPPES record for Jared Emerson was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Jared Emerson, DO · NPI 1629768916
Pediatrics physician in Southgate, Michigan. Individual provider, active in the CMS NPPES registry since May 10, 2023.
## Identity
- **NPI:** 1629768916 (Entity type: Individual)
- **Enumerated:** May 10, 2023
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 5101029449 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 15777 NORTHLINE RD STE 200, Southgate, MI 48195-2354
- **Phone:** (734) 246-8100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Oakwood Ambulatory LLC (NPI 1003829441, Dearborn, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629768916) · Data from the CMS NPPES public registry.