NPIMap

Individual provider Active NPI

Abha Sharma, MD

  • Family Medicine Physician
  • Ford Heights, IL
National Provider Identifier
1255355293
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-104199 Issued in IL
Practice address
1645 Cottage Grove Ave
Ford Heights, IL 60411-3818
Phone
(708) 753-5800
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-104199 IL Primary

Addresses

Primary practice location

1645 Cottage Grove Ave
Ford Heights, IL 60411-3818

Mailing address

1645 Cottage Grove Ave
Ford Heights, IL 60411-3818
Phone (708) 753-5800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address absharma@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070208000188 IL Practitioner - Family Practice 4981606621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

2020 W Harrison St
Chicago, IL 60612-3741
Phone (312) 572-4500

Hospital & facility affiliations

  • John H Stroger Jr Hospital Hospital, Chicago, IL, CCN 140124

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-104199ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Jun 5, 2013 Accepting new patients
Cook County Current Accepting new patients
Cook County Family Medicine CurrentSince Jun 5, 2013 Accepting new patients
Associated Medical Centers SC Family Medicine PastSince Apr 23, 2013 Accepting new patients
John H Stroger Jr Hospital Cook County Past Accepting new patients

Locations

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

2020 W Harrison St
Chicago, IL 60612
Phone (312) 572-4500

1900 W Polk St
Ste 1200
Chicago, IL 60612

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1645 Cottage Grove Ave
Ford Heights, IL 60411
Phone (708) 753-5800

Interoperability endpoints

  • Direct secure messaging: absharma@direct.ccprovider.org

Organizations & group practices 5

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1255355293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 COTTAGE GROVE AVE",
            "city": "FORD HEIGHTS",
            "state": "IL",
            "postal_code": "604113818",
            "telephone_number": "708-753-5800",
            "fax_number": "708-753-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 COTTAGE GROVE AVE",
            "city": "FORD HEIGHTS",
            "state": "IL",
            "postal_code": "604113818",
            "telephone_number": "708-753-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "ABHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-104199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "absharma@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ford Heights, IL

Sources for this page

Verify at the official NPI Registry.