Individual provider Active NPI

Kedar G Sharbidre, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1114333671
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME162094 Issued in FL
Practice address
1717 6TH Ave S
Birmingham, AL 35233-1801
Phone
(800) 822-8816
NPI assigned
Jul 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C1-0026407 DE
Diagnostic Radiology Physician 2085R0202X V2826 TX
Diagnostic Radiology Physician 2085R0202X L.4694SP AL
Diagnostic Radiology Physician 2085R0202X ME162094 FL Primary

Addresses

Primary practice location

1717 6TH Ave S
Birmingham, AL 35233-1801

Mailing address

1770 Iowa Ave Ste 280
Riverside, CA 92507-7401
Phone (951) 786-0801

Other practice location 1

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Other practice location 2

4755 Ogletown Stanton Road
Newark, DE 19718-2200
Phone (302) 733-1840

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksharbidre2456866@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IL, CA, MI, TX, FL6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20180817003119 AL Practitioner - Diagnostic Radiology 8729372248 Reassigns benefits to 7 organizations
I20231019002484 IL Practitioner - Diagnostic Radiology 8729372248 Reassigns benefits to 1 organization
I20231101001033 CA Practitioner - Diagnostic Radiology 8729372248 Reassigns benefits to 1 organization
I20231103003320 MI Practitioner - Diagnostic Radiology 8729372248 Reassigns benefits to 2 organizations
I20240916000236 TX Practitioner - Diagnostic Radiology 8729372248 Reassigns benefits to 1 organization
I20250409003439 FL Practitioner - Diagnostic Radiology 8729372248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Albuquerque PAGroup PAC ID 2860304482, 103 clinicians
Mayo Clinic JacksonvilleGroup PAC ID 5698689297, 1,595 clinicians

Practice addresses (Care Compare)

1901 Shades Crest Rd
Vestavia Hills, AL 35216-1413
Phone (505) 332-6900

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Hospital & facility affiliations

  • Mayo Clinic Hospital, Jacksonville, FL, CCN 100151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2018 Accepting new patients
Faculty Physicians and Surgeons of Llusm Diagnostic Radiology CurrentSince Nov 16, 2023 Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Nov 16, 2023 Accepting new patients
Carle West Physician Group Inc CurrentSince Oct 27, 2023 Accepting new patients
Edward W Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 15, 2024 Accepting new patients
Radiology Associates of Albuquerque, PA Diagnostic Radiology CurrentSince Nov 30, 2023 Accepting new patients
Mayo Clinic Jacksonville Current Accepting new patients
El Paso County Hospital District CurrentSince Sep 30, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 15, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
El Paso County Hospital District CurrentSince Sep 30, 2024 Accepting new patients
Riverside Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 22, 2024 Accepting new patients
Mayo Clinic Jacksonville CurrentSince Mar 31, 2025 Accepting new patients
Mayo Clinic Jacksonville CurrentSince Mar 31, 2025 Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Lansing Radiology Associates P C Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Mineral King Radiological Medical Group, Inc Diagnostic Radiology Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
#358
Birmingham, AL 35249

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

4510 Brockton Ave
Ste 175
Riverside, CA 92501
Phone (951) 786-5100

1770 Iowa Ave
Ste 280
Riverside, CA 92507
Phone (661) 948-4781

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

4748 Reliable Pkwy
Chicago, IL 60686

8175 Reliable Pkwy
Chicago, IL 60686

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1215 E Michigan Ave
Fl 4
Lansing, MI 48912
Phone (517) 364-3480

1200 E Michigan Ave
Lansing, MI 48912
Phone (517) 267-2460

2289 W Grand River Ave
Okemos, MI 48864
Phone (517) 349-2300

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

4005 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 462-6000

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

4801 Beckner Rd
Ste 1700
Santa Fe, NM 87507
Phone (505) 772-1730

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

Interoperability endpoints

  • Direct secure messaging: ksharbidre2456866@ehrdirect.mayoclinicmsg.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1404518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1114333671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 IOWA AVE STE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077401",
            "telephone_number": "951-786-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331801",
            "telephone_number": "800-822-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 San Pablo Rd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241865",
            "country_code": "US",
            "telephone_number": "904-953-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1840",
            "fax_number": "302-733-1633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARBIDRE",
        "first_name": "KEDAR",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-05",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0026407",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "V2826",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "L.4694SP",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME162094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksharbidre2456866@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "4500 San Pablo Rd S",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322241865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.