Individual provider Active NPI

Deepa Wagle Sharma, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1124367321
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139863 Issued in TX
Practice address
2833 Babcock Rd Ste 302
San Antonio, TX 78229-4896
Phone
(210) 450-9890
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139863 TX Primary

Addresses

Primary practice location

2833 Babcock Rd Ste 302
San Antonio, TX 78229-4896

Mailing address

2833 Babcock Rd Ste 302
San Antonio, TX 78229-4896
Phone (210) 450-9890

Other practice location 1

2054 Tillotson Ave
Bronx, NY 10475-1560
Phone (718) 671-2100

Other identifiers 2

IdentifierTypeStateIssuer
395225102OtherTXCSHCN
395225101MedicaidTX

Other names 1

  • Deepa Wagle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190304002352 TX Practitioner - Nurse Practitioner 1254670532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2833 Babcock Rd
San Antonio, TX 78229-5390
Phone (210) 450-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Apr 1, 2019 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Apr 1, 2019 Accepting new patients

Locations

2833 Babcock Rd
San Antonio, TX 78229
Phone (210) 450-9890

2833 Babcock Rd
Ste 302
San Antonio, TX 78229
Phone (210) 450-9890

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • Direct secure messaging: dwaglesharma27313@direct.utmsa.com

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1124367321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK RD STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294896",
            "telephone_number": "210-450-9890",
            "fax_number": "210-450-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK RD STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294896",
            "telephone_number": "210-450-9890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2054 Tillotson Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104751560",
            "country_code": "US",
            "telephone_number": "718-671-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGLE SHARMA",
        "first_name": "DEEPA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "395225102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395225101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPA",
            "last_name": "WAGLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.