DR. MARIKO KITA SHELTON (M.D.) – Obstetrics & Gynecology Physician, NPI 1194082131

DR. MARIKO KITA SHELTON (M.D.) is a healthcare provider. based in Bloomfield hills, Michigan. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. 4301101128 (MI). The NPI Number for DR. MARIKO KITA SHELTON (M.D.) is 1194082131

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIKO KITA SHELTON (M.D.)
NPI
1194082131
Phone
(248) 334-4505
Address
1750 S TELEGRAPH RD
Enumeration Date
16 April 2012
Last Update Date
29 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483344505
Graduation Year
2012 (14 years ago)
PAC ID
2668754060
Group Practice PAC ID
8628965175
Professional Enrollment ID
I20170119001697
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for DR. MARIKO KITA SHELTON (M.D.)

  • 1750 S TELEGRAPH RD

    STE 108

    BLOOMFIELD HILLS, MI 483020166

    Phone: (248) 334-4505

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($40).

Total Amount

$80

General + Research + Ownership

Payments

4

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170119001697IObstetrics/GynecologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628965175View full group profile
NameSpecialtyState
-MI
-MI
Family PracticeMI
-IL
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Pediatric MedicineMI
Gynecological Oncology, Obstetrics/GynecologyMI
Nurse PractitionerTN
Internal Medicine, Pediatric MedicineMI

Reviews

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Frequently asked questions

How do I look up DR. MARIKO KITA SHELTON (M.D.) by NPI?
Use NPI 1194082131 when you need to reference DR. MARIKO KITA SHELTON (M.D.) in forms, claims, or directories.
Is DR. MARIKO KITA SHELTON (M.D.) active in the national directory?
DR. MARIKO KITA SHELTON (M.D.)'s public NPI profile is in an active state.
Does DR. MARIKO KITA SHELTON (M.D.) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for DR. MARIKO KITA SHELTON (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MARIKO KITA SHELTON (M.D.)?
The page summarizes Bloomfield Hills, Michigan for DR. MARIKO KITA SHELTON (M.D.); expand the address list for detail.
How can I contact DR. MARIKO KITA SHELTON (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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