Active NPI
Sandeep Sharma, M.D.
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0116027745
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
2501 W Peterson Ave
Chicago, IL 60659-4108
Phone (773) 761-0300
Hospital & facility affiliations
- Swedish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116027745 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asian Human Services Family Health Center | Current | Accepting new patients | |
| Asian Human Services Family Health Center, Inc. | Current | 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
- sandeep.sharma.1@18313.direct.athenahealth.com
- https://api.platform.athenahealth.com/18313/brand/1/csg/1/fhir/r4
- 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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1164439279
-
- Health Educator
- Chicago, IL
- NPI 1174874788
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1609201060
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.