Organization Active NPI

Sandeep Sharma, M.D., L.L.C.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1306041710
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0064624 Issued in MD
Legal business name
SANDEEP SHARMA, M.D., L.L.C.
Practice address
9701 Veirs Dr
Rockville, MD 20850-3414
Phone
(301) 675-4279
NPI assigned
Jun 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Sandeep Sharma, M.D.NPI 1194734376
Title
President
Phone
(301) 675-4279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0064624 MD Primary

Addresses

Primary practice location

9701 Veirs Dr
Rockville, MD 20850-3414

Mailing address

11605 Glynshire CT
Potomac, MD 20854-2029
Phone (301) 675-4279

Other identifiers 4

IdentifierTypeStateIssuer
FTV1SOtherMDCAREFIRST
F227OtherDCCAREFIRST
040040900MedicaidDC
DN3466OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080618000667 DC Part B Supplier - Clinic/Group Practice 0143316133 Receives reassigned benefits from 5 practitioners
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1306041710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 GLYNSHIRE CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542029",
            "telephone_number": "301-675-4279",
            "fax_number": "240-252-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 VEIRS DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503414",
            "telephone_number": "301-675-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDEEP SHARMA, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-16",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-675-4279",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0064624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "FTV1S",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "F227",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040040900",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN3466",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.