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Dr. Jared Emerson , DO

Pediatrics β€’ Southgate, MI

Active NPI 1629768916 Individual Practitioner Male Practitioner
Practice location in NPPES

15777 Northline Rd
Southgate, MI 481952385

Call 7342468100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15777 Northline Rd

Southgate, MI 481952385

Telephone 7342468100
Organization at the Same NPPES Address or Phone
Oakwood Ambulatory, Llc Facility NPI 1033432232

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Emerson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Emerson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Southgate and Michigan

18 active clinicians are listed under Pediatrics with a practice address in Southgate, MI (2,181 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Southgate

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MI 5151016183

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230706002796

Enrollment State Jurisdiction

MI

PECOS Control ID

8426417643

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Dr. Arshia Akram , MD

Family Medicine

NPI 1982894317

Doctor of Medicine (M.D.)

Dr. Lauren Bauer , DO

Family Medicine

NPI 1114662855

Doctor of Osteopathic Medicine (D.O.)

NPI 1598146847

DOMPH

Dr. Amin Charara , MD

Family Medicine

NPI 1932841350

Doctor of Medicine (M.D.)

NPI 1316926942

Doctor of Medicine (M.D.)

Dr. Jeffrey Kane , MD

Internal Medicine

NPI 1962674341

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 27, 2026

Registered at 15777 NORTHLINE RD, SOUTHGATE, MI 481952385 (Tel: 7342468100)

πŸ“
Updated Business Mailing Address June 27, 2026

Registered at 15777 NORTHLINE RD, SOUTHGATE, MI 481952385 (Tel: 7342468100)

βœ…
NPI Profile Active May 10, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 10, 2023

Registered at 3535 W 13 MILE RD, ROYAL OAK, MI 480736770 (Tel: 2485513000)

πŸ“
Business Mailing Address (Initial Record) May 10, 2023

Registered at 3601 W 13 MILE RD, ROYAL OAK, MI 480736712

πŸ‘€
Provider Name / Credentials (Initial Record) May 10, 2023

Recorded as JARED EMERSON, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2023

Pediatrics (license number reported to NPPES: MI 5151016183)

🟒
Initial NPI Registration & Enumeration May 10, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629768916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2023
Last Update: June 27, 2026
Sole Proprietor: No

Mailing Address

15777 Northline Rd

Southgate, MI 481952385

Phone: 7342468100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.