Organization Active NPI

Jivesh Sharma M.D. PA

  • Hematology & Oncology Physician
  • Dallas, TX
National Provider Identifier
1033775168
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
JIVESH SHARMA M.D. PA
Practice address
12606 Greenville Ave Ste 185
Dallas, TX 75243-1921
Phone
(214) 707-3759
NPI assigned
May 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Jivesh SharmaNPI 1588653406
Title
Physician Owner
Phone
(214) 707-3759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

12606 Greenville Ave Ste 185
Dallas, TX 75243-1921

Mailing address

6119 Greenville Ave # 425
Dallas, TX 75206-1910
Phone (214) 707-3759

Other identifiers 1

IdentifierTypeStateIssuer
1370462-13MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsharma@mycancercenter.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1033775168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 GREENVILLE AVE # 425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061910",
            "telephone_number": "214-707-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE STE 185",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "214-707-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIVESH SHARMA M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "JIVESH",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "214-707-3759"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1370462-13",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsharma@mycancercenter.com",
            "affiliation": "N",
            "address_1": "12606 Greenville Ave Ste 185",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752431921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.