Active NPI
Chandra Prakash Sharma, M.D.
- Emergency Medicine Physician
- Welch, WV
National Provider Identifier
1023052958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 10379
- Practice address
- 454 McDowell St
Welch, WV 24801-2029 - Phone
- (304) 436-8461
- NPI assigned
- Jun 14, 2006
- Last updated
- Nov 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 10379 | WV | Primary |
Addresses
Primary practice location
454 McDowell St
Welch, WV 24801-2029
Mailing address
PO Box 634712
Cincinnati, OH 45263-0001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007308787 | Medicaid | VA | |
| 0128112000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Medical Services Corporation LLC | Emergency Medicine | Past | Accepting new patients |
| State of West Virginia Welch Community Hospital | Past | Accepting new patients | |
| State of West Virginia Welch Emergency Hospital | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kelly Medical Corporation
- Emergency Medicine Physician
- Welch, WV
- NPI 1033154810
-
- General Acute Care Hospital
- Welch, WV
- NPI 1134158900
-
dba Welch Community Hospital-MDGRP
- Specialist
- Welch, WV
- NPI 1154476513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1023052958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634712",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 MCDOWELL ST",
"city": "WELCH",
"state": "WV",
"postal_code": "248012029",
"telephone_number": "304-436-8461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "CHANDRA",
"middle_name": "PRAKASH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "10379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007308787",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0128112000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Welch, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.