Active NPI
Carol Hayes-Sharpley, M.D.
- Adult Medicine Physician
- Chicago, IL
National Provider Identifier
1225084585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 036085899
- Practice address
- 1357 W 103Rd St
Chicago, IL 60643-2392 - Phone
- (773) 238-0800
- Fax
- (773) 881-7234
- NPI assigned
- May 26, 2006
- Last updated
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01052316 | IN | |
| Adult Medicine Physician | 207QA0505X | 036085899 | IL | Primary |
Addresses
Primary practice location
1357 W 103Rd St
Chicago, IL 60643-2392
Mailing address
7905 Calumet Ave
Munster, IN 46321-1215
Phone (219) 836-7214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200265760 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carol.hayes-sharpley@aah.org | Health Information Exchange (HIE) | |
| Direct Messaging Address | cdhsfpmd@icloud.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01052316 | IN | MD | Family Medicine Physician |
| 036085899 | IL | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1225084585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7905 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211215",
"telephone_number": "219-836-7214",
"fax_number": "219-836-6436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 W 103RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606432392",
"telephone_number": "773-238-0800",
"fax_number": "773-881-7234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES-SHARPLEY",
"first_name": "CAROL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01052316",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "IL",
"license": "036085899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200265760",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carol.hayes-sharpley@aah.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct messaging address",
"address_1": "1357 W 103rd St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606432392",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cdhsfpmd@icloud.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mailing address",
"address_1": "1357 W 103rd St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606432392",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.