Individual provider Active NPI

Rajiv Sharma, MD

  • Vascular & Interventional Radiology Physician
  • Fairfield, CT
National Provider Identifier
1033372792
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
64620 Issued in CT
Practice address
501 Kings Hwy E Ste 109
Fairfield, CT 06825-4871
Phone
(203) 330-0248
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME125156 FL
Diagnostic Radiology Physician 2085R0202X 104876 GA
Surgery Physician 208600000X 4301092974 MI
Diagnostic Radiology Physician 2085R0202X 0101285548 VA
Vascular & Interventional Radiology Physician 2085R0204X 64620 CT Primary

Addresses

Primary practice location

501 Kings Hwy E Ste 109
Fairfield, CT 06825-4871

Mailing address

PO Box 416139
Boston, MA 02241-6139
Phone (610) 644-8900

Other practice location 1

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3540

Other practice location 2

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-2394

Other identifiers 1

IdentifierTypeStateIssuer
008098678MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150923003091 FL Practitioner - Diagnostic Radiology 0547577512 Reassigns benefits to 4 organizations
I20201120001007 CT Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0547577512

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1420 Magnolia Ave
Winter Park, FL 32789-1624
Phone (248) 520-3014

15517 Shorebird LN
Winter Garden, FL 34787-4379
Phone (770) 848-8000

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550

6700 Lake Nona Blvd
Orlando, FL 32827-7729
Phone (904) 399-5550

700 W Oak St
Kissimmee, FL 34741-4996
Phone (904) 399-5550

8300 Red Bug Lake Rd
Oviedo, FL 32765-6801
Phone (904) 399-5550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME125156FLMDDiagnostic Radiology Physician
104876GAMDDiagnostic Radiology Physician
0101285548VAMDDiagnostic Radiology Physician
4301092974MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc Surgery CurrentSince Jan 25, 2026 Accepting new patients
Danville Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
DLP Twin County Physician Practices LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Sentara Medical Group Past Accepting new patients

Locations

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

Interoperability endpoints

  • Direct secure messaging: rajiv.sharma.p103@direct.aac.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGGHDD/Endpoint/BGGHDD

Organizations & group practices 7

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 5

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1033372792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416139",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416139",
            "telephone_number": "610-644-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KINGS HWY E STE 109",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254871",
            "telephone_number": "203-330-0248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "34741",
            "country_code": "US",
            "telephone_number": "407-518-3540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-2394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "RAJIV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME125156",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "104876",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301092974",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101285548",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "64620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008098678",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.