Kailash C. Sharma MD SC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036-094003 Issued in IL

Legal business name

KAILASH C. SHARMA MD SC

Practice address

6360 159TH St
Suite a B
Oak Forest, IL 60452-2725

Phone

(708) 687-4620

Fax

(708) 687-4625

NPI assigned

May 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kailash C. Sharma, M.D.

Title

President/Owner

Phone

(708) 687-4620

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Kailash C Sharma MD SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kailash C. Sharma MD SC

  • Pulmonary Disease Physician
  • Frankfort, IL
  • NPI 1073776852
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kailash C. Sharma MD SC

  • Pulmonary Disease Physician
  • Frankfort, IL
  • NPI 1073776852
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristy Wingerter, FNP

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1477143618
  Medicare reassignment
• Krystle Banzuela, FNP-BC

  • Family Nurse Practitioner
  • Oak Forest, IL
  • NPI 1548668601
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1013968395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 BROADWAY STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105556",
            "telephone_number": "219-756-3988",
            "fax_number": "219-756-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 159TH ST",
            "address_2": "SUITE A B",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522725",
            "telephone_number": "708-687-4620",
            "fax_number": "708-687-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILASH C. SHARMA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "KAILASH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "708-687-4620",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-094003",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036-094003",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036-094003",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036-094003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PPO #",
            "identifier": "01632588",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE SHIELD NUMBER",
            "identifier": "01632588",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John H. Stroger, Jr. Hospital of Cook County
• Samantha Johnson
• Tyler Johnson, LMT, CCMA, CNA
• Jonelle Urgena DDS PC
• Sarah J Jurkovic, PSY.D.
• James J Katula, ATC
• Cheryl Kaunas, M.A., CCC-SLP
• Karyn Kempke
• Ma Lea Kerkstra, RPH
• Andrea Kielbowicz

• Pulmonary Disease Physician in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.