Individual provider Active NPI

Nidhi Sharma

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1306072400
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
S4685 Issued in TX
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
Fax
(512) 795-5122
NPI assigned
Jun 3, 2009
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57015523 OH
Diagnostic Radiology Physician 2085R0202X 35127104 OH
Diagnostic Radiology Physician 2085R0202X S4685 TX Primary

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other identifiers 1

IdentifierTypeStateIssuer
406530201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200127001031 TX Practitioner - Diagnostic Radiology 4688982242 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

Whitehouse, TX 75791
Phone (480) 306-6949

23818 Hwy 59 N
Simonmed Imaging Northpark
Kingwood, TX 77339-1510
Phone (346) 323-7125

4156 Echo Glen Dr
Nidhi Sharma MD
Dallas, TX 75244-7323
Phone (480) 306-6949

483 W Seed Farm Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (602) 528-7100

5810 Meadowcrest Dr
Dallas, TX 75230-2934
Phone (480) 306-6949

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35127104OHMDDiagnostic Radiology Physician
S4685TXMDDiagnostic Radiology Physician
57015523OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation CurrentSince Nov 9, 2023 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Sep 6, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 10, 2020 Accepting new patients
Gila River Health Care CurrentSince Nov 9, 2023 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Sep 6, 2022 Accepting new patients

Locations

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

1111 S Dobson Rd
Ste 105
Mesa, AZ 85202
Phone (480) 964-4995

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

8380 S Kyrene Rd
Ste 105
Tempe, AZ 85284
Phone (480) 785-2511

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

11375 S Sam Houston Pkwy W
Ste 150
Houston, TX 77031
Phone (281) 879-6800

24600 Katy Fwy
Katy, TX 77494
Phone (346) 527-0245

8633 Broadway St
Ste 109
Pearland, TX 77584
Phone (281) 412-3916

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1306072400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "NIDHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57015523",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35127104",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S4685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406530201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.