Individual provider Active NPI

Kavitha Sharkady, MD

  • Anesthesiology Physician
  • Detroit, MI
National Provider Identifier
1033312657
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301083755 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 916-8234
NPI assigned
Jun 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301083755 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

1106 Ferris Ave
Royal Oak, MI 48067-3678
Phone (248) 990-2427

Other identifiers 2

IdentifierTypeStateIssuer
07235097MedicaidMS
1340171MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000546 NC Practitioner - Anesthesiology 4880755800 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 934-8171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301083755MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc CurrentSince May 4, 2013 Accepting new patients
Regional Anesthesia, PLLC CurrentSince Feb 5, 2018 Accepting new patients
Sarmc Anesthesia Specialist LLC CurrentSince Mar 17, 2016 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince May 4, 2013 Accepting new patients
University of North Carolina at Chapel Hill Anesthesiology CurrentSince Apr 7, 2024 Accepting new patients
Louisiana Anesthesia Partners, LLC Anesthesiology Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

5200 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-4187

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

Organizations & group practices 6

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1033312657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 FERRIS AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673678",
            "telephone_number": "248-990-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKADY",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-10",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301083755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07235097",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1340171",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.