Individual provider Active NPI

Maruti Sharma, M.D.

  • Internal Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1043579527
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
287164 Issued in NY
Practice address
105 Stevens Ave Ste 208
Mount Vernon, NY 10550
Phone
(914) 699-7645
Fax
(914) 699-8092
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 287164 NY Primary

Addresses

Primary practice location

105 Stevens Ave Ste 208
Mount Vernon, NY 10550

Mailing address

105 Stevens Ave Ste 208
Mount Vernon, NY 10550-2682
Phone (914) 699-7645

Other practice location 1

30 Shelburne Rd
Department of Medicine
Stamford, CT 06902-3628
Phone (203) 276-7485

Other practice location 2

30 Shelburne Rd
Department of Medicine
Stamford, CT 06902-3628
Phone (203) 276-7485

Other identifiers 1

IdentifierTypeStateIssuer
05244959MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180925002795 NY Practitioner - Internal Medicine 1355692690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharma and Sharma Medical PLLCGroup PAC ID 0446512339, 2 clinicians

Practice addresses (Care Compare)

105 Stevens Ave
Suite 208
Mount Vernon, NY 10550-2682
Phone (914) 699-7645

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sharma and Sharma Medical PLLC Internal Medicine CurrentSince Jan 7, 2018 Accepting new patients
Parkview Operating Co LLC Past Accepting new patients

Locations

105 Stevens Ave
Ste 208
Mount Vernon, NY 10550
Phone (914) 699-7645

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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 2

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": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1043579527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE STE 208",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502682",
            "telephone_number": "914-699-7645",
            "fax_number": "914-699-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE STE 208",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10550",
            "telephone_number": "914-699-7645",
            "fax_number": "914-699-8092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Shelburne Rd",
            "address_2": "Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069023628",
            "country_code": "US",
            "telephone_number": "203-276-7485",
            "fax_number": "203-276-7368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Shelburne Rd",
            "address_2": "Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069023628",
            "country_code": "US",
            "telephone_number": "203-276-7485",
            "fax_number": "203-276-7368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "MARUTI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "287164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05244959",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.