DILIP SAMARAPUNGAVAN MD
NPI 1689635955
Internal Medicine - Nephrology in Royal Oak, MI

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
3535 W 13 MILE RD STE 644, ROYAL OAK, MI 48073(248) 551-1033 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dilip Samarapungavan Md NPPES

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

DILIP SAMARAPUNGAVAN MD (NPI 1689635955) is an individual nephrology provider in Royal Oak, Michigan, licensed in Michigan (4301065266) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689635955
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDILIP SAMARAPUNGAVANCredential: MD
Location Address3535 W 13 MILE RD STE 644Royal Oak, MI 48073-6770
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMarch 28, 2006
Last NPPES UpdateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
NPI 1689635955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MI · 4301065266
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3535 W 13 MILE RD STE 644, Royal Oak, MI 48073

Secondary Practice Locations 3

Location 13535 W 13 Mile Rd Ste 635Royal Oak, MI 48073-6770 · Phone (248) 551-1033
Location 23535 W 13 Mile Rd Ste 644Royal Oak, MI 48073-6770 · Phone (248) 551-1010
Location 33535 W 13 Mile Rd Ste 248Royal Oak, MI 48073-6770 · Phone (248) 551-1515

Other Identifiers 2

Medicaid4415344MI
OtherBCBSMMI · Bcbsm

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

Dilip Samarapungavan 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 ID7618932187
PECOS Enrollment IDI20041123001045
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 5

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.
86 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
82 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services18 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.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Harbor Beach Community Hospital

Critical Access Hospitals · Harbor Beach, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231313
Location210 S First StHarbor Beach, MI 48441 · Huron County
Emergency services

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers68 claims4,830 services$2.07 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
36 suppliers1,013 claims127,660 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
14 suppliers434 claims99,570 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers22 claims3,450 services$0.56 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
27 suppliers677 claims118,898 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers85 claims13,290 services$0.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Psychologist (Clinical)
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073
Nurse Practitioner (Acute Care)
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073
Internal Medicine (Nephrology)
3535 W 13 MILE RD STE 644, BEAUMONT MULTI-ORGAN TRANSPLANT CLINIC
ROYAL OAK, MI 48073
Surgery
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073
Nurse Practitioner (Family)
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073
Internal Medicine (Nephrology)
3535 W 13 MILE RD STE 644, BEAUMONT MULTI-ORGAN TRANSPLANT CLINIC
ROYAL OAK, MI 48073
Internal Medicine (Nephrology)
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073
Surgery
3535 W 13 MILE RD STE 644
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 Dilip Samarapungavan's NPI number?

The NPI number for Dilip Samarapungavan is 1689635955. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Dilip Samarapungavan located?

Dilip Samarapungavan practices at 3535 W 13 Mile Rd Ste 644, Royal Oak, MI 48073. The listed phone number is (248) 551-1033.

What is Dilip Samarapungavan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Dilip Samarapungavan enrolled in Medicare?

Yes. Dilip Samarapungavan 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 Dilip Samarapungavan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Dilip Samarapungavan 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 Dilip Samarapungavan affiliated with any hospitals?

According to CMS data, Dilip Samarapungavan is affiliated with Beaumont Hospital - Dearborn, Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak, Beaumont Hospital, Troy and Harbor Beach Community Hospital.

When was this NPI record last updated?

The NPPES record for Dilip Samarapungavan was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.