SHILPA NILESH RAMEKAR
NPI 1568274769
Nurse Practitioner - Family in Lake Orion, MI
About Shilpa Nilesh Ramekar NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHILPA NILESH RAMEKAR (NPI 1568274769) is an individual family provider in Lake Orion, Michigan, licensed in Michigan (4704298289) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Shilpa Nilesh Ramekar 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shilpa Ramekar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 169 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 383 clinicians in this Medicare group
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 48360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shilpa Ramekar's NPI number?
The NPI number for Shilpa Ramekar is 1568274769. It was assigned to this individual provider in the NPPES registry on January 23, 2025.
Where is Shilpa Ramekar located?
Shilpa Ramekar practices at 3395 Mallard Ln, Lake Orion, MI 48360. The listed phone number is (248) 403-4121.
What is Shilpa Ramekar's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shilpa Ramekar enrolled in Medicare?
Yes. Shilpa Ramekar 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 organizations bill Medicare for Shilpa Ramekar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shilpa Ramekar reassigns Medicare benefits to 2 organizations: Complexcare Medical Group Midwest H PLLC (Novi, MI) and Theoria Medical (Novi, MI). Each 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 Shilpa Ramekar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shilpa Ramekar accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Shilpa Ramekar 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 Shilpa Ramekar was last updated on February 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Shilpa Nilesh Ramekar · NPI 1568274769
Family physician in Lake Orion, Michigan. Individual provider, active in the CMS NPPES registry since January 23, 2025.
## Identity
- **NPI:** 1568274769 (Entity type: Individual)
- **Enumerated:** January 23, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704298289 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3395 MALLARD LN, Lake Orion, MI 48360-2543
- **Phone:** (248) 403-4121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Complexcare Medical Group Midwest H PLLC (NPI 1457144933, Novi, MI); Theoria Medical (NPI 1609362375, Novi, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568274769) · Data from the CMS NPPES public registry.