Organization Active NPI

Kailash C. Sharma MD SC

  • Pulmonary Disease Physician
  • Frankfort, IL
National Provider Identifier
1073776852
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01061460A Issued in IL
Legal business name
KAILASH C. SHARMA MD SC
Practice address
20635 Abbey Woods CT N
Suite 101 & 102
Frankfort, IL 60423-3181
Phone
(708) 687-4620
Fax
(708) 687-4625
NPI assigned
Jul 2, 2008
Organization subpart
Yes
Parent organization
KAILASH C. SHARMA MD SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Kailash C. Sharma, M.D.
Title
President/Owner
Phone
(708) 687-4620

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 01061460A IL
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 01061460A IL
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 01061460A IL Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 01061460A IL

Addresses

Primary practice location

20635 Abbey Woods CT N
Suite 101 & 102
Frankfort, IL 60423-3181

Mailing address

7895 Broadway Ste V
Merrillville, IN 46410-5529
Phone (219) 756-3988

Other identifiers 2

IdentifierTypeStateIssuer
01632588OtherILGROUP BLUE SHIELD NUMBER
01632588OtherILBLUE SHIELD PPO #

National Provider Directory

National Provider Directory
Tax ID family
Kailash C Sharma MD SC2 organizations share this tax ID, including this one
Part of
Kailash C Sharma MD SC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20635 Abbey Woods Ct N
Ste 101
Frankfort, IL 60423
Phone (708) 687-4620

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1073776852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7895 BROADWAY STE V",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105529",
            "telephone_number": "219-756-3988",
            "fax_number": "219-756-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20635 ABBEY WOODS CT N",
            "address_2": "SUITE 101 & 102",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233181",
            "telephone_number": "708-687-4620",
            "fax_number": "708-687-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILASH C. SHARMA MD SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAILASH C. SHARMA MD SC",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "KAILASH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "708-687-4620",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "01061460A",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "01061460A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "01061460A",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "01061460A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE SHIELD NUMBER",
            "identifier": "01632588",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PPO #",
            "identifier": "01632588",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.