Individual provider Active NPI

Sandeep Sharma, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1124408976
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116027745 Issued in VA
Practice address
2501 W Peterson Ave
Chicago, IL 60659
Phone
(773) 761-0300
Fax
(773) 761-0009
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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 0116027745 VA Primary

Addresses

Primary practice location

2501 W Peterson Ave
Chicago, IL 60659

Mailing address

2501 W Peterson Ave
Chicago, IL 60659
Phone (773) 761-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230407001321 IL Practitioner - Family Practice 6305278870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Human Services Family Health Center, Inc.Group PAC ID 4385637537, 16 clinicians

Practice addresses (Care Compare)

2501 W Peterson Ave
Chicago, IL 60659-4108
Phone (773) 761-0300

Hospital & facility affiliations

  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116027745VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Human Services Family Health Center CurrentSince Mar 28, 2023 Accepting new patients
Asian Human Services Family Health Center, Inc. CurrentSince Mar 28, 2023 Accepting new patients
Asian Human Services Family Health Center, Inc Past Accepting new patients

Locations

2424 W Peterson Ave
Chicago, IL 60659
Phone (773) 761-0300

6301 N Western Ave
Chicago, IL 60659
Phone (773) 761-0300

2501 W Peterson Ave
Chicago, IL 60659
Phone (773) 761-0300

8321 W Golf Rd
Niles, IL 60714
Phone (773) 761-0300

8800 Lockwood Ave
Skokie, IL 60077
Phone (773) 761-0300

Interoperability endpoints

  • Direct secure messaging: sandeep.sharma.1@18313.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18313/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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 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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1124408976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-761-0300",
            "fax_number": "773-761-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-761-0300",
            "fax_number": "773-761-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2022-02-02",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116027745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.