Rahul Sharma MD PLLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

RAHUL SHARMA MD PLLC

Practice address

11124 W California Ave
Suite G
Youngtown, AZ 85363-1246

Phone

(623) 583-2073

NPI assigned

Jan 31, 2023

Organization subpart

Yes

Parent organization

RAHUL SHARMA MDAs reported in NPPES

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

Authorized official

Name

Peggy Jeter

Title

Office Manager

Phone

(623) 583-2073

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Part of

Rahul Sharma MD PLLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rahul Sharma, MD

  • Interventional Cardiology Physician
  • Peoria, AZ
  • NPI 1063675288
  Medicare reassignment NPD

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1154037372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 W CALIFORNIA AVE",
            "address_2": "SUITE G",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 W CALIFORNIA AVE",
            "address_2": "SUITE G",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631246",
            "telephone_number": "623-583-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHUL SHARMA MD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAHUL SHARMA MD",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-583-2073"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087103",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexian B Onyenso, PHARMD
• Athena M. Parmenter, PHARM.D.
• Pediatric Partners, LLC
• Phoenix Senior Living LLC
• Pleasant Pediatrics PLC
• Rajkumar Sugumaran MD PLLC
• Joy A Richardson, PTA
• Karina L Robledo, RDN
• Raul Sanchez, PTA
• Sandoval Consulting PLLC

• Interventional Cardiology Physician in Youngtown, AZ
• Providers in Youngtown, AZ by specialty
• Interventional Cardiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.