Active NPI
Rani Sharma, M.D.
- Internal Medicine Physician
- Libertyville, IL
National Provider Identifier
1033293493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036103630
- Practice address
- 131 E Park Ave
Suite # 103
Libertyville, IL 60048-2800 - Phone
- (847) 968-2800
- Fax
- (847) 968-2801
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036103630 | IL | Primary |
Addresses
Primary practice location
131 E Park Ave
Suite # 103
Libertyville, IL 60048-2800
Mailing address
131 E Park Ave
Suite # 103
Libertyville, IL 60048-2800
Phone (847) 968-2800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036103630 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1033293493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 E PARK AVE",
"address_2": "SUITE # 103",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600482800",
"telephone_number": "847-968-2800",
"fax_number": "847-968-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 E PARK AVE",
"address_2": "SUITE # 103",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600482800",
"telephone_number": "847-968-2800",
"fax_number": "847-968-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "RANI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036103630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.