Pradeep Sharma, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

161856 Issued in NY

Practice address

790 Seneca Ave
Ridgewood, NY 11385-4123

Phone

(718) 821-3777

Fax

(718) 821-2858

NPI assigned

May 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: pradeepsharma@whmc.allscriptsdirect.net
• Direct secure messaging: pradeepsharm@1666.mdlanddirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1700886322
  NPD
• New York Comprehensive Cardiology PLLC

  • Cardiovascular Disease Physician
  • Ridgewood, NY
  • NPI 1417904434
  NPD (past)
• Wyckoff Medical Services, P C

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1558308411
  NPD (past)
• Yash Pal Arya, M.D., P.C.

  dba Arya Gastroenterology Associates

  • Specialist
  • Brooklyn, NY
  • NPI 1164602694
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164480570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854123",
            "telephone_number": "718-821-3777",
            "fax_number": "718-821-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854123",
            "telephone_number": "718-821-3777",
            "fax_number": "718-821-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "PRADEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "161856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00938192",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kishore M Shah IX, DDS
• Abul B Shahidullah, MD
• Shatha Khalil Shahwan
• Nicholas Shannon, MHC-LP
• Sadath Ulla Shareef, B.PHARM; M.TECH
• Amr Shayeb, M.D
• Teresa Shen
• Haroun Sherhan, RPH
• Sherman Pharmacy 2 Inc. (Sherman Pharmacy 2)
• Mingmar Doma Sherpa

• Internal Medicine Physician in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.