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Shalimar Moghul Blanton

NPI 1073197562ActiveIndividual· Nurse Practitioner· Royal Oak, MI

Nurse Practitioner with Beaumont Medical Group- Specialty Services, practicing in Royal Oak, Michigan. Medicare paid $4,574 for services to 61 patients in 2024. Lists Beaumont Hospital - Farmington Hills and 1 other hospital as hospital affiliations.

Overview

NPI1073197562
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 10, 2021
Last updated in NPPESJan 25, 2023
Certified by providerJan 25, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X4704263051MI
Registered Nurse163W00000X4704263051MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients61
Services billed64 across 4 procedure codes
Paid by Medicare$4,574

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other nurse practitioners in Royal Oak

All 153 nurse practitioners in Royal Oak · All nurse practitioners in Michigan