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MRS. SARA BETH BELLUOMO NURSE PRACTITIONER
NPI 1114168911
Nurse Practitioner - Adult Health in Detroit, MI

Active since March 09, 2009PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
22101 MOROSS RD, PHYSICIAN EXTENDER, ST. JOHN HOSPITAL & MEDICAL CENTER, DETROIT, MI 48236(313) 343-3134(313) 343-7495 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Sara Beth Belluomo Nurse Practitioner NPPES

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

MRS. SARA BETH BELLUOMO NURSE PRACTITIONER (NPI 1114168911) is an individual adult health provider in Detroit, Michigan, licensed in Michigan (A1108249) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Royal Oak, and is a graduate of Wayne State University School Of Medicine (2008).

NPPES Registry Identity

NPI1114168911
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SARA BETH BELLUOMOCredential: NURSE PRACTITIONER
Location Address22101 MOROSS RD, PHYSICIAN EXTENDER, ST. JOHN HOSPITAL & MEDICAL CENTERDetroit, MI 48236-2148
Mailing Address1509 Anne DrRoyal Oak, MI 48067-4537 · (586) 915-5153
Phone(313) 343-3134
Fax(313) 343-7495
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2008
Enumeration DateMarch 9, 2009
Last NPPES UpdateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
✔ NPI 1114168911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · A1108249
22101 MOROSS RD, Detroit, MI 48236
Open in Google Maps ↗

Secondary Practice Location 1

Location 13601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 898-4021

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sara Beth Belluomo Nurse Practitioner 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 ID8628211844
PECOS Enrollment IDI20130906000489
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.

Medicare Billing Reassignment

Medicare enrollment records show Sara Belluomo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beaumont Medical Group Hospital -Based Services
16 mi
Hospitalist
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 946 clinicians in this Medicare group
NPI 1427567858 (248) 898-5000

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 48236 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

Other Providers at the Same Location NPPES 20

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

MARY DECAROLIS LMSW, ACSW
Social Worker (Clinical)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 417-2769
ELEFTHERIOS VOUYOUKAS MD, MSC
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
JAINA SABU SAMUEL
Nurse Practitioner (Acute Care)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
DR. DANIEL S RANA M.D.
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
MRS. MARIA ANNA SYJUD MPT
Physical Therapist
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-3744
DANIEL P SNOWER MD
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
ST. JOHN HOSPITAL AND MEDICAL CENTER
Clinic/Center
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (586) 753-0011
ENAS ALSHAREKH
Internal Medicine
22101 MOROSS RD, PB2 SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774

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 Sara Belluomo's NPI number?

The NPI number for Sara Belluomo is 1114168911. It was assigned to this individual provider in the NPPES registry on March 9, 2009.

Where is Sara Belluomo located?

Sara Belluomo practices at 22101 Moross Rd Physician Extender, St. John Hospital & Medical Center, Detroit, MI 48236. The listed phone number is (313) 343-3134.

What is Sara Belluomo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sara Belluomo enrolled in Medicare?

Yes. Sara Belluomo 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.

Which organization bills Medicare for Sara Belluomo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Belluomo reassigns Medicare benefits to Beaumont Medical Group Hospital -Based Services (Royal Oak, 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 Sara Belluomo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Belluomo accept?

Health plans from Priority Health list Sara Belluomo 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 Sara Belluomo was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.