NIMROD BLANK (M.D.) – Cardiovascular Disease Physician, NPI 1255709218

NIMROD BLANK (M.D.) is a healthcare provider. based in Troy, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 4301108677 (FM). The NPI Number for NIMROD BLANK (M.D.) is 1255709218

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
NIMROD BLANK (M.D.)
NPI
1255709218
Phone
Not provided
Address
1650 E MAPLE RD
Enumeration Date
8 September 2015
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3137913000
Graduation Year
2005 (21 years ago)
PAC ID
2365705787
Group Practice PAC ID
1850587890
Professional Enrollment ID
I20180418001429
Address ID
MI481242021DE22720AVEX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,222 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI

Provider Addresses for NIMROD BLANK (M.D.)

  • 1650 E MAPLE RD

    TROY, MI 48083

    Phone:

    Type: Mailing

  • 4201 SAINT ANTOINE ST STE 5A

    DETROIT, MI 482012153

    Phone: (313) 745-4525

    Fax: (313) 993-0085

    Type: Location

  • 22720 MICHIGAN AVE STE 200

    DEARBORN, MI 481242021

    Phone: (313) 791-3000

    Fax: (313) 791-2800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,362.

Total Amount is formed as General ($1,362) + Research ($0) + Ownership ($0) = $1,362.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($205).

Total Amount

$1,362

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,362

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2018-04-18

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
I20180418001429ICardiovascular Disease (Cardiology)MITBD

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 48083)

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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: 1850587890View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineMI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMI
Physician AssistantMI
Internal MedicineMI
Nurse PractitionerMI
Physician AssistantMI
Interventional CardiologyMI
Nurse PractitionerMI
Internal Medicine, Interventional CardiologyMI

Reviews

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Frequently asked questions

What is NIMROD BLANK (M.D.)'s NPI number?
NIMROD BLANK (M.D.)'s NPI is 1255709218 — the number used across U.S. healthcare to identify this provider.
Is NIMROD BLANK (M.D.) shown as active in public data?
Registry records indicate NIMROD BLANK (M.D.) maintains an active NPI.
What expertise is attributed to NIMROD BLANK (M.D.)?
NIMROD BLANK (M.D.)'s specialty line reads Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NIMROD BLANK (M.D.)?
Travel planning: use Troy, Michigan as the reference point for NIMROD BLANK (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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