Active NPI
Mrinal Sharma, MD
- Cardiovascular Disease Physician
- Lovington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD2010-0506
- Practice address
- 1600 N Main Ave
Lovington, NM 88260-2830 - Phone
- (575) 396-6611
- Fax
- (575) 396-1454
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101054140 | VA | |
| Cardiovascular Disease Physician | 207RC0000X | MD2010-0506 | NM | Primary |
Addresses
Primary practice location
1600 N Main Ave
Lovington, NM 88260-2830
Mailing address
1600 N Main Ave
Lovington, NM 88260-2830
Phone (575) 396-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82655243 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 N Main
Lovington, NM 88260-2813
1600 N Main Ave
Lovington, NM 88260-2813
Phone 57539666115303
515 E Main St
Hobbs, NM 88240-8119
Phone (575) 397-0560
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101054140 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nor-Lea Hospital District | Current | Accepting new patients | |
| Heart Specialists of Northern Virginia, P.C. | Cardiovascular Disease | Past | Accepting new patients |
Locations
515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560
1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611
1600 N Main Ave
Ste A
Lovington, NM 88260
Phone (505) 396-3529
Interoperability endpoints
- msharma1266595@oc.providencedirect.org
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Lovington, NM
- NPI 1881630036
-
- Cardiovascular Disease Physician
- Springfield, VA
- NPI 1629167077
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lovington, NM
- NPI 1881630036
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1003851056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N MAIN AVE",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "882602830",
"telephone_number": "575-396-6611",
"fax_number": "575-396-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N MAIN AVE",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "882602830",
"telephone_number": "575-396-6611",
"fax_number": "575-396-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "MRINAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101054140",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NM",
"license": "MD2010-0506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82655243",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lovington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.