NPIMap

Individual provider Active NPI

Manoj Sharma, MD

  • Interventional Cardiology Physician
  • Saginaw, MI
National Provider Identifier
1033105242
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301079133 Issued in MI
Practice address
4884 Berl Dr
Saginaw, MI 48604-2802
Phone
(989) 497-9395
Fax
(989) 497-9599
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 4301079133 MI Primary

Addresses

Primary practice location

4884 Berl Dr
Saginaw, MI 48604-2802

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-2833

Other identifiers 2

IdentifierTypeStateIssuer
1033105242MedicaidMI
MS079133OtherMILICENSE #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msharma1387@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000123 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153455894 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

1941 Gates St
Reese, MI 48757-9555
Phone (989) 583-5550

4884 Berl Dr
Saginaw, MI 48604-2802
Phone (989) 497-9395

600 N Main St
Frankenmuth, MI 48734-1152

700 Cooper Ave
Saginaw, MI 48602-5383
Phone (989) 583-4220

900 Cooper Ave
Saginaw, MI 48602-5182

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc CurrentSince Jul 1, 2010 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Deckerville Community Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Deckerville Community Hospital, Inc CurrentSince Jan 1, 2025 Accepting new patients
Marlette Regional Hospital CurrentSince Jan 1, 2025 Accepting new patients

Locations

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

900 Cooper Ave
Ste 4400
Saginaw, MI 48602
Phone (989) 583-4401

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

4884 Berl Dr
Saginaw, MI 48604
Phone (989) 497-8768

900 Cooper Ave
Ste 4100
Saginaw, MI 48602
Phone (989) 497-9395

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

Interoperability endpoints

  • Direct secure messaging: msharma1387@direct.covenanthealthcare.com

Organizations & group practices 11

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1033105242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-2833",
            "fax_number": "989-583-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4884 BERL DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042802",
            "telephone_number": "989-497-9395",
            "fax_number": "989-497-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "MANOJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301079133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033105242",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "MS079133",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msharma1387@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "4884 Berl Dr",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486042802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.