Individual provider Active NPI

Harry H Sharata, MD, PH.D.

  • Specialist
  • Madison, WI
National Provider Identifier
1275595753
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
6510 Grand Teton PLZ
Suite 302
Madison, WI 53719-1029
Phone
(608) 826-0285
Fax
(608) 826-0281
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 35716-020 WI
Specialist 174400000X Primary

Addresses

Primary practice location

6510 Grand Teton PLZ
Suite 302
Madison, WI 53719-1029

Mailing address

6510 Grand Teton PLZ Ste 302
Madison, WI 53719-1029
Phone (608) 239-3440

Other practice location 1

1036 W Stephenson St Fl 3
Freeport, IL 61032-4865
Phone (888) 423-7880

Other practice location 2

412 18th Ave
Monroe, WI 53566
Phone (608) 329-5773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040819000259 WI Practitioner - Dermatology 9931172632 Reassigns benefits to 1 organization
I20190416000308 IL Practitioner - Dermatology 9931172632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Wisconsin School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology Clinic IncGroup PAC ID 7315288644, 3 clinicians
Advanced Dermatology, Inc.Group PAC ID 5698748390, 3 clinicians

Practice addresses (Care Compare)

1036 W Stephenson St
FL 3
Freeport, IL 61032-4865
Phone (888) 423-7880

6510 Grand Teton PLZ
Suite 302
Madison, WI 53719-1029
Phone (608) 826-0285

Hospital & facility affiliations

  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160
  • The Monroe Clinic Hospital, Monroe, WI, CCN 520028

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision154
Removal of tissue1-10
Removal of skin lesions1302
Removal of skin cancer397
Removal or shaving of skin growth1-10
Skin biopsy508

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35716-020WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Clinic, Inc. Single Specialty CurrentSince Mar 1, 2019 Accepting new patients
Advanced Dermatology, Inc. Specialist CurrentSince Sep 1, 2004 Accepting new patients

Locations

1036 W Stephenson St
#3
Freeport, IL 61032

1036 W Stephenson St
Fl 3
Freeport, IL 61032
Phone (888) 423-7880

1036 W Stephenson St
Freeport, IL 61032
Phone (815) 599-7410

6510 Grand Teton Plz
Madison, WI 53719

6510 Grand Teton Plz
Ste 302
Madison, WI 53719
Phone (608) 826-0285

412 18th Ave
Monroe, WI 53566
Phone (608) 329-5773

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1275595753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 GRAND TETON PLZ STE 302",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191029",
            "telephone_number": "608-239-3440",
            "fax_number": "608-826-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 GRAND TETON PLZ",
            "address_2": "SUITE 302",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191029",
            "telephone_number": "608-826-0285",
            "fax_number": "608-826-0281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 W Stephenson St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324865",
            "country_code": "US",
            "telephone_number": "888-423-7880",
            "fax_number": "608-826-0281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "53566",
            "country_code": "US",
            "telephone_number": "608-329-5773",
            "fax_number": "608-329-5776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARATA",
        "first_name": "HARRY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WI",
            "license": "35716-020",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.