Active NPI
Shavonne Karam
- Family Nurse Practitioner
- Beverly Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704348406
- Practice address
- 31333 Southfield Rd Ste 130
Beverly Hills, MI 48025-5412 - Phone
- (248) 952-9190
- NPI assigned
- Jul 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704348406 | MI | Primary |
Addresses
Primary practice location
31333 Southfield Rd Ste 130
Beverly Hills, MI 48025-5412
Mailing address
31333 Southfield Rd Ste 130
Beverly Hills, MI 48025-5412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220225000565 | MI | Practitioner - Nurse Practitioner | 1850785403 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Affiliated Knee Pain Specialists PLLC
Practice addresses (Care Compare)
45445 Mound Rd
Suite 105
Shelby Township, MI 48317-5178
Phone (866) 207-5105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Knee Pain Specialists PLLC | Current | Accepting new patients | |
| Affiliated Knee Pain Specialists, PLLC | Current | Accepting new patients | |
| Affiliated Knee Pain Specialists PLLC | Past | Accepting new patients |
Locations
31333 Southfield Rd
Ste 130
Beverly Hills, MI 48025
Phone (248) 952-9190
31333 Southfield Rd
Ste 103
Beverly Hills, MI 48025
Phone (248) 952-9190
8565 N Silvery Ln
Ste 405
Dearborn Heights, MI 48127
Phone (313) 512-7111
2503 S Linden Rd
Ste 120
Flint, MI 48532
Phone (313) 512-7111
45445 Mound Rd
Ste 105
Shelby Township, MI 48317
Phone (248) 952-9190
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Beverly Hills, MI
- NPI 1699262006
MI
-
- Internal Medicine Physician
- Shelby Township, MI
- NPI 1831717842
-
- Internal Medicine Physician
- Flint, MI
- NPI 1992421747
-
- Internal Medicine Physician
- Dearborn Heights, MI
- NPI 1154075042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1790357705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31333 SOUTHFIELD RD STE 130",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31333 SOUTHFIELD RD STE 130",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255412",
"telephone_number": "248-952-9190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARAM",
"first_name": "SHAVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-11",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704348406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.