Individual provider Active NPI

Priyanka Sharma, M.D.

  • Internal Medicine Physician
  • Riverside, IL
National Provider Identifier
1245687565
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.068185 Issued in IL
Practice address
3722 South Harlem Avenue Suite LL34
Macneal Center for Internal Medicine
Riverside, IL 60546
Phone
(708) 783-6566
Fax
(708) 783-6567
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.068185 IL Primary

Addresses

Primary practice location

3722 South Harlem Avenue Suite LL34
Macneal Center for Internal Medicine
Riverside, IL 60546

Mailing address

, Cleo County, Sector 121,
Apt 402, Tower D2
Noida, UTTAR PRADESH 201301
IN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.068185ILMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1245687565",
    "addresses": [
        {
            "country_code": "IN",
            "country_name": "India",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": ", CLEO COUNTY, SECTOR 121,",
            "address_2": "APT 402, TOWER D2",
            "city": "NOIDA",
            "state": "UTTAR PRADESH",
            "postal_code": "201301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 SOUTH HARLEM AVENUE SUITE LL34",
            "address_2": "MACNEAL CENTER FOR INTERNAL MEDICINE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "60546",
            "telephone_number": "708-783-6566",
            "fax_number": "708-783-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "PRIYANKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.068185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, IL

Sources for this page

Verify at the official NPI Registry.