Individual provider Active NPI

John J Sharza, MD

  • Family Medicine Physician
  • Victor, NY
National Provider Identifier
1073622197
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
193916 Issued in NY
Practice address
53 W Main St
Victor, NY 14564-1106
Phone
(585) 924-0690
Fax
(585) 924-8806
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 193916 NY Primary

Addresses

Primary practice location

53 W Main St
Victor, NY 14564-1106

Mailing address

6 Hillside Dr
Canandaigua, NY 14424-8958

Other identifiers 2

IdentifierTypeStateIssuer
01475254MedicaidNY
102749BFOtherNYPREFERRED CARE

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
I20100329000637 NY Practitioner - Family Practice 1254467392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

53 W Main St
Victor, NY 14564-1198
Phone (585) 924-0690

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193916NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ontario County CurrentSince May 21, 2024 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jun 1, 1999 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jun 1, 1999 Accepting new patients

Locations

23 North St
Ste 5
Canandaigua, NY 14424
Phone (585) 394-3920

73 Buffalo St
Ste 100
Canandaigua, NY 14424

350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000

3019 County Complex Dr
Canandaigua, NY 14424
Phone (585) 396-4363

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

53 W Main St
Victor, NY 14564
Phone (585) 924-0690

Interoperability endpoints

  • Direct secure messaging: jsharza82811@direct.urmc.rochester.edu
  • FHIR API: https://api.platform.athenahealth.com/22281/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073622197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HILLSIDE DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W MAIN ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641106",
            "telephone_number": "585-924-0690",
            "fax_number": "585-924-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARZA",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "193916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01475254",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "102749BF",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.